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The Heart of the Health Care Enterprise
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The Role of “Pleasure” in Public Health
Posted on February 27, 2020 by Editor-in-Chief
FEBRUARY 2020 AJPHBy Alfredo Morabia, MD, PhD Editor-in-chief, AJPH Dear Dr. David Marcinko, |
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| This month, AJPH has a collection of articles on ending the HIV epidemic, population health and telemedicine services.
New! Enjoy the current issue of AJPH on your mobile device. Download the e-Reader or Kindle version today. Here are a few of the many articles in the February 2020 issue: |
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| Also, don’t miss our just released supplement on Documenting and Addressing the Health Impacts of Carceral Systems. It’s full of timely and insightful articles on mass incarceration and related topics.
The mission of AJPH is to advance public health research, policy, practice and education. Toward that goal, the journal also produces monthly podcasts available in English, Spanish and Chinese at ajph.org. The monthly podcasts also are on iTunes and Google Play. Be on the lookout for more timely research from AJPH, and consider subscribing or becoming an APHA member for full access. Thank you and Happy New Year 2020 |
| Alfredo Morabia, MD, PhD
Editor-in-chief, AJPH |
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WANT TO JOIN A PRIVATE MICRO-NETWORK?
Posted on February 26, 2020 by Editor-in-Chief
THE FUTURE VALUE IS IN “WHO” WE CONNECT !
By Dr. David E. Marcinko MBA
Forget amassing “likes”, “smiles”, “winks” or cultivating your online persona. Micro-Networks are all about being your true authentic self with just a select and carefully curated few people; and that’s it! No social influencers, marketers or viral posts. Just micro-segmentation!
THINK: Family members, professional colleagues, neighbors and close friends; sport or class-mates, and co-workers or faculty members in small distinct groups. There is no “network” as you occupy the space with just these people. The total number of participants is pre-determined; 25, 50, 100, 175, 250; etc. And, when reached, the only way to add new members is for existing members to drop out.
“The Vital Few … Not the Trivial Many.”
QUERY: Would you join a micro-network? What cohort of members?
Please comment.
QUERY: Would you pay a small membership surcharge? How much?
Please comment.
ASSESSMENT: Your thoughts and comments are appreciated.
THANK YOU
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Tell Us the Issues Affecting your Medical Practice, Clinic, Wellness Center or Hospital
Posted on February 25, 2020 by Editor-in-Chief
[By staff reporters]
Tell us about the issues affecting your medical practice, clinic, hospital, wellness center, or healthcare organization in 2020.
We are conducting a brief survey to learn more about the key issues affecting your healthcare entity, and how they impact your outlook for the coming year.
Just send in your thoughts on the survey form below.
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
- Dictionary of Health Information Technology and Security
- Dictionary of Health Insurance and Managed Care
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Ending Childhood Obesity on “Fat” Tuesday
Posted on February 25, 2020 by Editor-in-Chief
A Fat Tuesday Message in 2020
[By Staff Reporters]
More than a decade ago, First Lady Michelle Obama kicked off a campaign to try to end childhood obesity within a generation.
Of course, with the impending Lenten season about to start, the timing could not be more prescient for a re-dedication to this goal.
Let’s Move
The campaign to end obesity is called: “Let’s Move“; local to Savannah, GA.
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MORE: https://medicalexecutivepost.com/2018/03/02/us-childhood-obesity-trends/
ADULTS: https://medicalexecutivepost.com/2016/03/25/an-obesity-pic/
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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Is This a “Minsky Moment”
Posted on February 24, 2020 by Editor-in-Chief
Of STOCKMARKET Bear Markets
Update Courtesy: http://www.CertifiedMedicalPlanner.org
28,992.41 ▼ -227.57
A Bull market is one of rising stock prices, while a Bear market is the opposite. More specifically, a Bear market is defined as a drop of 20% or more from its high, and can vary in duration and severity. While a Bull market has no such threshold.
Whither the Bear?
Typically, bear markets are associated with declines in an overall market or index like the S&P 500, but individual securities or commodities can be considered to be in a bear market over a sustained period of time – typically two months or more.
ESSAY: https://medicalexecutivepost.com/2018/12/22/stocks-and-sectors-in-bear-territory/
Now, a Minsky moment is a sudden major collapse of asset values which is part of the credit cycle or business cycle. Such moments occur because long periods of prosperity and increasing value of investments lead to increasing speculation using borrowed money
ESSAY: https://medicalexecutivepost.com/2018/11/16/what-is-a-minsky-moment/
And so, what is a physician-investor to do in a bear market?
9,576.59 ▼ -174.38 -1.79%
ESSAY: https://medicalexecutivepost.com/2016/03/18/doctors-and-bull-and-bear-markets/
MORE: https://realinvestmentadvice.com/the-return-of-the-minsky-moment/
Your thoughts and comments are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Insurers, PBMs and Specialty Pharmacies Today
Posted on February 24, 2020 by Editor-in-Chief
CIRCA: 2019 Vertical Business Relationships
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US Equity Market Chart Book Review 2020
Posted on February 23, 2020 by Editor-in-Chief
Dear Dr. David E Marcinko,
As part of Merk’s in-house research meetings, we are sharing with you our latest analysis of the U.S. Equity Markets; February 2020.
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For the complete analysis, we have prepared the following for you:
The U.S. Equity Market Chart Book – PDF
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The investing audience should view this content in the context of their individual investment process, time-horizon, and goals. We welcome your feedback. Best, Axel Merk ***
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Tips for the Medical Educator’s “Elevator Pitch”
Posted on February 23, 2020 by Editor-in-Chief
On Medical Academic – Not Business – Planning
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
We’ve written and opined about medical business entrepreneurs and business start-up plans; before:
MY ESSAY: https://medicalexecutivepost.com/2020/01/20/creating-a-medical-practice-business-plan-in-2020/
MY SCRIPT: https://healthcarefinancials.files.wordpress.com/2017/08/podcast.pdf
QUERY: But, did you ever wonder what to say when you’re standing next to a senior physician colleague who could help further your academic and educational work?
MOOCS: https://medicalexecutivepost.com/2018/09/25/moocs-are-you-an-i-t-educational-futurist/
FLIPPED CLASSROOM: https://medicalexecutivepost.com/2019/05/17/the-flipped-classroom/
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Now, for some granular specificity; let’s cue the elevator pitch with David Acosta MD and Daniel Hashimoto MD MS who demonstrate what to do (and what not to do) to successfully deliver your medical educator’s elevator pitch.
PODCAST http://academicmedicineblog.org/tips-for-the-medical-educators-elevator-pitch/
Your thoughts are appreciated.
TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:
THANK YOU
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Physician Call for Overhaul of EHRs
Posted on February 22, 2020 by Editor-in-Chief
Harris Poll of Doctors
[By staff reporters]
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Conclusion: Your thoughts are appreciated.
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FROM “TRIPLE” TO “QUADRUPLE” AIM
Posted on February 21, 2020 by Editor-in-Chief
Include the Physicians, Clinicians and Medical Providers?
By: Dr. David E. Marcinko MBA
Courtesy: http://www.CertifiedMedicalPlanner.org
The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”:
- Improving the patient experience of care (including quality and satisfaction);
- Improving the health of populations; and
- Reducing the per capita cost of health care.
PODCAST: https://www.youtube.com/watch?v=a_QskzKFZnI
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QUERY: But what about the physicians?
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Assessment: Why not include us in a “Quadruple Aim” aspiration?
Conclusion: Your thoughts and comments are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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U.S. Healthcare Spending Per Capita
Posted on February 20, 2020 by Editor-in-Chief
CIRCA: 2018
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Conclusion: Your thoughts are appreciated.
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Health Care in America
Posted on February 20, 2020 by Editor-in-Chief
Salary versus Healthcare Costs
[By staff reporters]
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Tuition Costs V. Medical Care Costs V. Home Prices V. the CPI
Posted on February 19, 2020 by Editor-in-Chief
In Picto-Graphic Form
[By staff reporters]
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Conclusion: Your thoughts are appreciated.
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Physician “Life-Style Creep”
Posted on February 19, 2020 by Editor-in-Chief
We Must Avoid It!
By Dr. David E. Marcinko MBA
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MORE: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/
Conclusion: Your thoughts are appreciated.
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Non-Acute Pharmaceutical Spending
Posted on February 18, 2020 by Editor-in-Chief
Alternate Site Drug Spend Sector Distribution
[By staff reporters]
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WHAT IS THE “NUMBER NEEDED TO HARM”?
Posted on February 17, 2020 by Editor-in-Chief
More on Epidemiology and Health Economics
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
We’ve talked about the “Number Needed to Treat”, before.
QUERY: But, what is the “Number Needed to Harm”?
ANSWER: The number needed to harm (NNH) is an epidemiological measure that indicates how many persons on average need to be exposed to a risk factor over a specific period to cause harm in an average of one person who would not otherwise have been harmed.
Colleague Aaron Carroll MD explains even more.
PODCAST: https://www.youtube.com/watch?v=e_ytF2-4NkI
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MORE: https://www.youtube.com/watch?v=90CWXT5zxjw
Conclusion: Your thoughts are appreciated.
TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:
THANK YOU
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The “Chinee Room” Argument of A.I.
Posted on February 16, 2020 by Editor-in-Chief
On John Searle and his Paper
By Dr David E. Marcinko MBA
The Chinese room argument holds that a digital computer executing a program cannot be shown to have a “mind”, “understanding” or “consciousness”, regardless of how intelligently or human-like the program may make the computer behave.
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The argument was first presented by philosopher John Searle in his paper, “Minds, Brains, and Programs“, published in Behavioral and Brain Sciences in 1980. It has been widely discussed in the years since. The centerpiece of the argument is a thought experiment known as the Chinese room.
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Conclusion: Your thoughts are appreciated.
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Historical Digital Health and Tele-Medicine?
Posted on February 15, 2020 by Editor-in-Chief
Digital Health & Tele-Medicine are NOT 21st Century Concepts!
[via Igor Korolev DO, PhD]
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Fritz Kahn, a physician, author, and illustrator imagined the future of medicine nearly 100 years ago!
MORE: https://en.wikipedia.org/wiki/Fritz_Kahn
This 1926 illustration shows “The Doctor of the Future” providing patient care remotely using a telecommunication system & medical devices that track various physiological & health information (electrocardiogram – ECG, X-ray images, temperature, respiratory function, blood pressure).
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Conclusion: Your thoughts are appreciated.
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IS BITCOIN CLOSE TO BECOMING “WORTH-LESS”?
Posted on February 15, 2020 by Editor-in-Chief
MAYBE – MAYBE NOT?
By Dr. David E. Marcinko MBA
An article by Market Watch’s Atuyla Sarin titled, “Bitcoin is Close to Becoming Worthless” made the rounds on social media and got some people and physician investors panicking.
LINK: https://lnkd.in/eyNrGE9
And so, colleague Pete Quinones, over at the “Free Man Beyond The Wall”, invited Cointext CTO Vin Armani to come on the show to refute the reporting in the article. Vin also commented on the state of the crypto markets and Ohio’s accepting of Bitcoin for tax payments.
PODCAST: https://lnkd.in/eMrTgH4
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Conclusion: Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Are Financial Asset Classes like a Box of Valentine Chocolates in 2020?
Posted on February 14, 2020 by Editor-in-Chief
On Valentine’s Day Diversification
By Rick Kahler MS CFP® ChFC CCIM www.KahlerFinancial.com
With displays of Valentine candy in every store, February is the perfect time to talk about chocolate. A creative financial planner might even steal Forrest Gump’s analogy and say, “Diversification is like a box of chocolates.”
Except that it isn’t.
True, a box of chocolates might have a lot of variety. Cream centers. Caramels. Nougats. Nuts. Dark chocolate. Milk chocolate. Truffles. Yet it’s all still chocolate.
Retirement Savings
Buying that box would be like investing your retirement savings in a variety of US stocks. Even if you had a dozen different companies, they would all be the same basic category of investment, or asset class.
For example, suppose you gave your true love a slightly more diversified Valentine gift made up of chocolates, Girl Scout cookies, baklava, and apple pie. That would compare to investing in different types of stocks like US, international, or emerging markets. But, everything would still be dessert.
Wiser Physician-Investors
You would be a wiser doctor-investor if you took your true love out for dinner and had a meat course, a salad, vegetables, bread, dessert, and wine. Now you’d start to see real diversification.
In addition to US, international, and emerging market stocks (all dessert), you might have some other asset classes like US and international bonds (meat), real estate (bread), cash (salad), commodities (veggies), and absolute return strategies (wine).
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Long Term Growth Generator
This kind of asset class diversification is the best investment strategy for long-term growth. My preference is eight or nine different classes. For many clients, I recommend a mix of US and international stocks and bonds, real estate investment trusts, a commodities index fund, market neutral funds like merger arbitrage and managed futures, junk bonds, and Treasury Inflation Protected Securities (TIPS).
Market Fluctuations
Fluctuations in the market will tend to affect the various securities within a given asset class in the same way. Most US stocks, for example, would generally move up or down at the same times. So, owning shares of several different stocks wouldn’t protect you against changes in the market. When a portfolio is well-diversified, the volatility is reduced even during times when the markets are moving strongly up or down.
When I talk about investing in a variety of asset classes, I don’t mean owning stocks, real estate, gold, or other assets directly. For individual investors, mutual funds are a much better choice. Occasionally, someone will ask me, “But why should I have everything in mutual funds? That isn’t diversified, is it?”
Mutual Funds
Mutual funds are not an asset class. A mutual fund isn’t like a type of food; it’s like the plate you put the food on. A single plate might hold one food item or servings from several different food groups. More specifically, mutual funds are pools of money invested by managers. One fund might invest in real estate investment trusts (REITS). Another might have international stocks chosen for their high returns. Still others invest in a diversified mix of asset classes. The mutual fund is just the container that holds the investments.
[Courtesy GE Healthcare]
Annuities
Annuities and IRAs aren’t asset classes, either, but are also examples of different types of containers that hold investments. If you use your IRA to purchase an annuity, all you’re doing is stacking one plate on top of another. It doesn’t give you another asset class, it just costs you more for the second plate.
Assessment
Having a box of chocolates for dinner might seem more appealing in the short term than eating a balanced meal. Investing in the “get-rich-now” flavor of the month might seem tempting, too. Yet in the long run, asset class diversification is the best way to make sure you have a healthy investment diet.
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February 14th, 2020
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Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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What is a “Potemkin” Village?
Posted on February 13, 2020 by Editor-in-Chief
“Fake It – Till You Make It”
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
Originally, a Potemkin Village was any construction whose sole purpose was to provide an external façade making people believe a failing country was prosperous.
DEFINITION: https://en.wikipedia.org/wiki/Potemkin_village
The term comes from a fake portable village built to impress Empress Catherine II by her lover Grigory Potemkin, during her journey to Crimea, in 1787.
The term “Potemkin” has spawned other linguistic machinations, as well:
P-NUMBERS: Are made up and appear to be valid and legitimate but are not based in reality.
P-POLITICS: Candidates who say have a certain amount of donated money but have actually received less.
P-HOSPITALS: Impressive, but actually sham facades, in Wuhan, China?
P-NETWORKS: Erroneous quantitative data point like “counts”, “likes” or “winks” for posts on social media forums or e-boards; etc.
LINK: https://thefuturebuzz.com/2012/06/12/social-proofiness-spotting-digital-potemkin-numbers/
Conclusion: Do you know of any other word derivations? Please opine.
THANK YOU
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CAPITAL BUDGETING AND THE “PAY-BACK PERIOD”
Posted on February 12, 2020 by Editor-in-Chief
MEDICAL CLINIC CAPITAL BUDGETING AND THE “PAY-BACK PERIOD”
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
[A Cost Behavior Case Model for My B-School Students]
The Pay-Back Period refers to time required to recoup funds expended in an investment or reach the break-even point.
Joseph Spine DO wants to install a new large piece of Durable Medical Equipment in place of several smaller ones in his clinic. He will hire a therapist for the equipment and estimates incremental annual revenues and expenses below:
PRO-FORMA:
Revenues $10,000
Less Variable Expenses 3,000
Contribution Margin 7,000
Less Fixed Expenses
Insurance 900
Salaries 2,600
Depreciation 1,500
5,000
NET INCOME: $ 2,000
NOTE: Equipment parts are $15,000 for a 10-year life. The old machines sold for $1,000 salvage value. Dr. Spine requires a payback of 5 years or less.
QUERY: What is the pay-back period [dollars and years] and some key issues to consider?
CM SOLUTION: https://healthcarefinancials.files.wordpress.com/2013/09/managerial-costs.pdf
Your thoughts are appreciated.
THANK YOU
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WHAT IS Ro [r-NOUGHT] IN HEALTH EPIDEMIOLOGY?
Posted on February 11, 2020 by Editor-in-Chief
A Relationship to Financial Investing?
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA CMP
The basic reproduction number R0, [r nought) of an infection is the number of cases it generates on average over the course of its infectious period, in an otherwise uninfected population.
The metric determines whether or not a disease can spread through a population. The root concept is traced to Alfred Lotka and Ronald Ross, but its first application was by George MacDonald in 1952, with malaria.
LINK: https://www.healthline.com/health/r-nought-reproduction-number
FORMULA: When
R0 < 1
the infection will die out in the long run. But if
R0 > 1
the infection will be able to spread in a population.
LINK: https://wwwnc.cdc.gov/eid/article/25/1/17-1901_article
ASSESSMENT: Generally, the larger the value of R0, the harder it is to control the epidemic. In the past week, Corona virus estimates ranged from 1.4 to 5.5. The World Health Organization (WHO) range was 1.4 and 2.5. In comparison, seasonal flu affects millions each year but has an R0 of just 1.3. The R0 rate for measles ranges from 12 to 18.
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Your thoughts are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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The National Medical Association
Posted on February 11, 2020 by Editor-in-Chief
Congratulations N.M.A
[By Dr. David E. Marcinko MBA]
On Black History Month https://www.nmanet.org
Did you know that Dr. Daniel Hale Williams founded the National Medical Association in 1895?
And so, we highlight Dr. Williams and more in the hashtag#BlackHistoryMonth blog post.
MORE: Read it now: http://ow.ly/Qh6R50yiCCl
Conclusion: Your thoughts and comments are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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MY SEARCH EXPERIENCE FOR A C.M.I.O JOB
Posted on February 10, 2020 by Editor-in-Chief
Chief Medical Information Officer
Courtesy: www.CertifiedMedicalPlanner.org
[Including Interview Preparation List and Study Rubric]
By Dr. David E. Marcinko MBA
Last year I was a job finalist as Chief Medical Information Officer for the State of Georgia. It did not get the job. And yes, it was before the data breech at the State House, Health Insurance Commissioner’s Office and Court House.
FOREWORD: https://medicalexecutivepost.com/2008/02/29/richard-j-mata-md-ms-ms-cis-cmp%e2%84%a2-hon/
The CMIO was a C-Suite executive position responsible for championing institutional security. Physician awareness of electronic and HIPAA policy and procedure developments, while working to ensure compliance with internal and external standards related to medical information security, was vital. The CMIO was appointed, and reported, directly by the Governor.
And so, I developed the following list of duties and responsibilities in my preparation quest. It is offered to those seeking similar opportunities. No guarantees, implicitly or explicitly, are implied. Good Luck!
RUBRIC: https://healthcarefinancials.files.wordpress.com/2008/01/hit-security.pdf
Conclusion: And so, your thoughts are appreciated.
THANK YOU
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PODCAST ON “AGORIST” MARKET ECONOMICS
Posted on February 9, 2020 by Editor-in-Chief
ON “Agorist” FREE-MARKET “Counter” ECONOMIC PRINCIPLES
Courtesy: www.CertifiedMedicalPlanner.org
Dr. David E. Marcinko MBA
“The goal of agorism is the agora. The society of the open marketplace as near to untainted by theft, assault, and fraud as can be humanly attained is as close to a free society as can be achieved. And a free society is the only one in which each and every one of us can satisfy his or her subjective values without crushing others’ values by violence and coercion.”
— Samuel Edward Konkin III
And so, colleague Peter Quinones – Free Man Beyond The Wall – welcomes Sal Mayweather to the show. Known on Twitter as “Sal the Agorist,” he gained fame for posting liberty themed memes on Twitter. Sal started a podcast called “The Agora,” in which he concentrates his efforts on teaching the themes of “counter economics,” or Agorism.
Sal and Pete talk about ways that anyone can use agorist principles to subvert State control, and more importantly, starve them of their most powerful tool; our money and support.
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PODCAST: http://freemanbeyondthewall.libsyn.com/episode-187-subverting-the-state-w-counter-economics
Conclusion: Your thoughts and comments are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
***
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Filed under: Health Economics, Videos | Tagged: Agorist, Agorist” FREE-MARKET ECONOMIC, Free Man Beyond the Wall, Peter Quinones, Samuel Edward Konkin III | Leave a comment »
On Deductive & Inductive Reasoning; Null Semantics, Syllogisms and Expletive Logic
Posted on February 8, 2020 by Editor-in-Chief
On “WHAT’S-WHAT” and more!
By Dr. David E. Marcinko MBA
Is there a Difference? – Know the Difference!
DEDUCTIVE reasoning and logic is the process of reasoning from one or more statements (premises) to reach a logically certain conclusion. Deductive reasoning goes in the same direction as the conditionals, and links premises with conclusions. If all premises are true, the terms are clear, and the rules of deductive logic are followed, then the conclusion reached is necessarily true.
INDUCTIVE reasoning is a method in which the premises are viewed as supplying some evidence for the truth of the conclusion. While the conclusion of a deductive argument is certain, the truth of the conclusion of an inductive argument may be probable, based upon the evidence given. Many dictionaries define inductive reasoning as the derivation of general principles from specific observations, though there are many inductive arguments that do not have that form.
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SEMANTICALLY NULL doesn’t mean anything but is grammatically sound. A sentence as a whole can be semantically null because its internal inconsistencies prevent it from developing a meaning; ie., “I know what’s what?
An EXPLETIVE is a word or phrase inserted into a sentence that is not needed to express the basic meaning of the sentence. It is regarded as semantically null or a place holder.
A SYLLOGISM is a form of reasoning in which a conclusion is drawn (whether validly or not) from two given or assumed propositions (premises), each of which shares a term with the conclusion, and shares a common or middle term not present in the conclusion (e.g., all dogs are animals; all animals have four legs; therefore all dogs have four legs). This school of epistemology is highly advanced in syllogism and logical reasoning.
MORE: https://medicalexecutivepost.com/2019/05/14/what-is-epistemic-ambivalence/
MORE: https://medicalexecutivepost.com/2019/12/23/rationalism-versus-empiricism/
Conclusion: Your thoughts are appreciated.
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Filed under: Glossary Terms, iMBA, Inc. | Tagged: Epistemic ambivalence, expletive, inductive and deductive reasoning, logic, semantically null | Leave a comment »
OFFSETTING COSTS FOR CARDIO-THORACIC SURGICAL HEART SERVICES
Posted on February 7, 2020 by Editor-in-Chief
ON NATIONAL “GO RED DAY”
My Case Model Used in Business School
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
An MCO asked the Hospital of St. Mackenzie to provide coronary artery bypass graft (CABG) services, with catheterization, for its insured patients. The CFO at St. Mackenzie was pleased to review their request for proposal (RFP) as this was the exact type of patient needed to help offset costs of the new heart surgical services wing at the hospital.
Following some discussion, the MCO offered to pay the hospital $34,805 for a normal triple artery CABG without complications.
The CFO reviewed the standard treatment protocol and standard cost profile for the procedure. To her dismay, she discovered that the hospital’s cost would be $36,000 with a six-day average length-of-stay in the new wing.
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QUERY: What should she do and what facts are needed to make an informed decision?
ANSWER: https://healthcarefinancials.files.wordpress.com/2007/12/cvpa-3.pdf
Conclusion: Your thoughts are appreciated.
THANK YOU
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Filed under: Health Economics, Touring with Marcinko | Tagged: CARDIO-THORACIC SURGERY | 1 Comment »
PANDEMIC “versus” EPIDEMIC
Posted on February 6, 2020 by Editor-in-Chief
PANDEMIC “versus” EPIDEMIC
Dr. David E. Marcinko MBA
Courtesy: www.CertifiedMedicalPlanner.org
Is there a Difference? – Know the Difference!
A Pandemic (from Greek πᾶν pan “all” and δῆμος demos “people”) is an epidemic of disease that has spread across a large region; for instance multiple continents, or even worldwide. A widespread endemic disease that is stable in terms of how many people are getting sick from it is not a pandemic.
Further, flu pandemics generally exclude recurrences of seasonal flu. Throughout history, there have been a number of pandemics, such as smallpox and tuberculosis. One of the most devastating pandemics was the Black Death, which killed an estimated 100 million people in the 14th century. Some recent pandemics include: HIV, Spanish flu, 2009 flu pandemic and H1N1.
An Epidemic is the rapid spread of infectious disease to a large number of people in a given population within a short period of time, usually two weeks or less.
For example, in meningococcal infections, an attack rate in excess of 15 cases per 100,000 people for two consecutive weeks is considered an epidemic.
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Key Differences
- Epidemics is the outbreak of the disease in a community while pandemic is the outbreak of the disease globally.
- SARS was an epidemic while AIDS was an pandemic.
- Pandemic disease has the same origin or source where so ever it gets spread while the same disease is spreading with different sources in each country, it refers to epidemic.
- Epidemic when extending to greater levels becomes a pandemic.
MORE: https://www.verywellhealth.com/difference-between-epidemic-and-pandemic-2615168
Conclusion: Your thoughts are appreciated.
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THANK YOU
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Filed under: Glossary Terms, Health Law & Policy, Risk Management, Touring with Marcinko | Tagged: corona virus, epidemics, pandemics | Leave a comment »
Selected US Consumer Goods, Services and Wages
Posted on February 5, 2020 by Editor-in-Chief
CIRCA: 1998-2018
[By staff reporters]
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Filed under: Health Economics | Tagged: Core Inflation, Services and Wages, US Consumer Goods, wage inflation | Leave a comment »
THE CORONA VIRUS and Ro [r-NOUGHT]
Posted on February 4, 2020 by Editor-in-Chief
THE CORONA VIRUS & Ro [r-NOUGHT] IN HEALTH EPIDEMIOLOGY?
Courtesy: https://lnkd.in/eBf-4vY
By Dr. David E. Marcinko MBA
[A Relationship to Investing and the Stock Markets?]
DJIA 28,256.03 ▼ -603.41 [-2.09%]
DJIA 28,399.81 Today: ▲ DJIA: +143.78+0.51%
The Ro Value, [r Nought), of an infection is the number of cases it generates on average over the course of its infectious period, in an otherwise uninfected population.
LINK: https://lnkd.in/e9AmEhd The metric determines if a disease can spread through a population. LINK: https://lnkd.in/e2VXwcz
FORMULA: When R0 < 1, the infection will die out in the long run. But, if R0 > 1, the infection will spread in a population. The larger the value of R0, the harder it is to control the epidemic.
LINK: https://lnkd.in/eXYpEUm METRICS: Recently, Corona virus estimates ranged from 1.4 to 5.5. The WHO range was 1.4 and 2.5. In comparison, seasonal flu affects millions each year but has an R0 of just 1.3.
QUERY: What are the stock market & economic effects of Corona?
GLOBAL: https://lnkd.in/epKhamj
DOMESTIC: https://lnkd.in/eBxwRDW
Conclusion: Your thoughts are appreciated.
THANK YOU
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Filed under: Investing, Risk Management, Touring with Marcinko | Tagged: corona virus, Ro, Ro [r-NOUGHT] | Leave a comment »
CHRIS ROSSINE INTERVIEW ON THE COMING FINANCIAL “BUBBLE”?
Posted on February 3, 2020 by Editor-in-Chief
CHRIS ROSSINE ON THE COMING FINANCIAL INVESTING “BUBBLE”?
By Dr. David E. Marcinko MBA
Courtesy: https://lnkd.in/eBf-4vY
[A Podcast Re-Deux]
Atlanta colleague Pete Quinones – “Free Man Beyond The Wall” – welcomes Chris Rossini to the show. Chris is editor of the Ron Paul Liberty Report. He wrote the book “Set Money Free” and is the co-host of the Ron Paul Liberty Report on Fridays. And so, Pete asked Chris to come on the show, about a year ago, to talk about the economy.
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He specifically asked if stock market record highs are a “bubble” and what should we expect when it bursts. Chris also reviewed some basic economic principles and explained them in easy to understand language.
PODCAST: https://lnkd.in/ePirZyB
MORE: https://lnkd.in/eJNz355
Conclusion: Your thoughts and comments are appreciated.
BUSINESS, FINANCE & INVESTING TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Experts Invited, Investing | Leave a comment »
TODAY IS PALINDROME DAY
Posted on February 2, 2020 by Editor-in-Chief
TODAY IS PALINDROME DAY
Courtesy: www.MedicalExecutivePost.com
Today is 02/02/2020 — the first palindrome day in 909 years
A palindrome is a word, number, phrase, or other sequence of characters which reads the same backward as forward, such as taco cat, madam, racecar, or the number 10801.
Sentence-length palindromes may be written when allowances are made for adjustments to capital letters, punctuation, and word dividers, such as “A man, a plan, a canal, Panama!”,
Your thoughts are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Health Economics | Tagged: PALINDROME | 1 Comment »
Sharp Medical Instruments and OSHA
Posted on February 2, 2020 by Editor-in-Chief
OSHA and Sharp Medical Instruments
Courtesy: www.CertifiedMedicalPlanner.org
Understanding Requirements
The OSHA Standard requires that contaminated needles and other contaminated sharp instruments (sharps) must not be bent, recapped, or removed.
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Surgery: And, when it comes to actual surgery, I prefer a number [#10] surgical blade. Which blade do you prefer, Doctor?
Assessment: Your thoughts and comments are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Health Law & Policy | Tagged: Scalpels, Sharp Medical Instruments and OSHA, sharps | Leave a comment »
Hodja Nasreddin and Behavioral Economics [Gains and Losses]
Posted on February 1, 2020 by Editor-in-Chief
The Difference
[By Anonymous]
One of the most important concepts in behavioral economics is that people react differently to gains and losses. An example from Hodja Nasreddin:
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Hodja Nasreddin
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“One day Nasreddin went to his neighbour and asked to borrow a large cooking pot. The neighbour obliged and Nasreddin promised to bring it back shortly. Weeks passed when the neighbour came by to remind Nasreddin about his pot.
Embarrassed, the hodja went inside and after a short time re-emerged with the pot. On handing it over there was a clanging sound inside upon which the neighbour lifted the lid to reveal a smaller pot inside. “Hodja, what is this?” He exclaimed. “Neighbour, it seems the pot you gave me was expecting and this is her young!” The neighbour gave the hodja a silent look and left with both pots.
Some time later Nasreddin again asked to borrow the pot and the neighbour happily obliged. Again weeks passed and the neighbour came again inquiring about his pot.
“Alas!” Nasreddin said, your dear pot passed on to the afterlife, please accept my condolences.”
“But hodja, how can a metal pot die?” said his neighbour whereupon Nasreddin hodja flew into a rage and yelled:”You had no trouble believing it gave birth but her death strikes you as incredible? Now begone, you rascal!
NOTE: Why backward? http://mullahnasruddin.com/?p=1927
Assessment: Your thoughts are appreciated.
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Filed under: Health Economics, Investing | Tagged: behavioral econmomics, Hodja Nasreddin | Leave a comment »
