Hand Washing Techniques for Public Health

Mitigating Covid–19 with Soap and Water

By staff reporters

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MORE: https://medicalexecutivepost.com/2011/12/06/celebrating-national-hand-washing-awareness-week-2011/

FACILITIES: https://medicalexecutivepost.com/2009/07/31/hand-washing-for-healthcare-facilities/

SURGICAL: https://www.bing.com/videos/search?q=surgical+scrub&&view=detail&mid=26877EB599539A1537E226877EB599539A1537E2&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3Dsurgical%2Bscrub%26FORM%3DHDRSC3

Assessment: Your thoughts are appreciated

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Product DetailsProduct Details

THANK YOU

 

 

“Flattening the Curve” of COVID-19 Infections

WHAT IT IS – HOW IT WORKS?

Courtesy: www.CertifiedMedicalPlanner.org

Our message on Corona Virus so far has been “don’t panic.” For the vast majority of individuals, Corona Virus is not an existential threat.

However, the rapid rate of the virus’s spread has the potential to overwhelm our health system and cause a lot of problems.

And so, colleague Aaron E. Carroll MD MS explains the infection curve, right here.

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PODCAST: https://theincidentaleconomist.com/wordpress/flattening-the-curve-of-coronavirus-infections/

Assessment: Your thoughts and comments are appreciated.

covid-19-curvesv3

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Happy “Pi” Day 2020

The Most Famous Number in History

[By Staff Reporters]

Pi Day is an annual celebration of the mathematical constant π. Pi Day is observed on March 14 since 3, 1, and 4 are the first three significant digits of π. In 2009, the United States House of Representatives supported the designation of Pi Day.

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PODCAST: https://www.bing.com/videos/search?q=pi+day&&view=detail&mid=9C324BD69AEEC8028C129C324BD69AEEC8028C12&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3Dpi%2Bday%26FORM%3DHDRSC3

Assessment: Your thoughts and comments are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

 

Human Health Behavior TRENDS and COVID-19 Thoughts

Human Health Behavior and COVID-19 Thoughts

Courtesy: www.CertifiedMedicalPlanner.org

Here are 3 theories and 1 “rule” for the healthcare industrial complex that may help explain how the sector may not work correctly; from trauma, to epidemiology and  to Corona; all the time.

1 – Berkson’s Paradox: Strong correlations can fall apart when combined with a larger population.

For example, among motorcycle crash victims wearing helmets are more likely to be seriously injured than those not wearing helmets. But, that’s because most crash victims saved by helmets did not need to become hospital patients, and those without helmets are more likely to die before becoming a hospital patient.

2 – Group Attribution Error: Incorrectly assuming that the views of a group member, like a physician, reflect those of the whole group in a different discipline.

3 – Baader-Meinhof Phenomenon: Noticing an idea or word every where you look as soon as it’s brought to your attention in a way that makes you overestimate its prevalence.

***

LINK:

https://www.bing.com/videos/search?q=BAADER-MEINHOF+PHENOMENON&&view=detail&mid=7DA25E95466C56098E5A7DA25E95466C56098E5A&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DBAADER-MEINHOF%2BPHENOMENON%26FORM%3DHDRSC3

The 90-9-1 Rule: In social media networks, 90% of users just read content, 9% of users contribute a little content, and 1% of users contribute almost all the content.

QUERY: Does Social Media really give a false impression of what ideas are popular or “average.”

THINK: Corona Virus?

ASSESSMENT: Your thoughts and comments are appreciated.

***

TEXTS FOR PHYSICIAN EXECUTIVES:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

***

On Medical Office Fire Drills and Training

Office Fire Drills

By Dr. David E. Marcinko MBA

Fire Drills should be performed at least annually and documented.

When first opening an office or when a new employee is brought onboard, staff need to be trained on the use of a fire extinguisher, location of the nearest fire extinguisher and location of alarm pull station (if any) on the first day. Training should be documented and placed in the employee file.

Generally speaking, a fire extinguisher is required every 75 feet in office space and be the appropriate type for the nature of business and equipment in use. Most offices use a multi-purpose ABC extinguisher that can be used on most types of fires.

The types of fires are listed below:

  • Class A fires are for ordinary combustible materials such as paper, wood, cardboard, and most plastics.
  • Class B fires involve flammable or combustible liquids (gasoline, kerosene, oil, and grease).
  • Class C fires are those caused by electrical equipment (wiring, appliances, and outlets).
  • Class D fires are chemical fires that involve combustible metals i.e. potassium, sodium, and magnesium.

EXTINGUISHERS

Carbon Dioxide (CO2) extinguishers can be used for class B and C fires. These extinguishers are highly pressurized and are best suited for electrical or computer equipment. They have an advantage over dry chemical extinguishers for this use since they do not leave damaging residue. However, they are not effective for Class A fires.

It is important to know which type of extinguisher is best for the office and equipment since using the wrong type can be critical in an emergency.

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THE EMERGENCY LIST:

At a minimum, a physician office should have a safety program that addresses the following in the event of an emergency:

  1. Written Program
  2. Emergency Notification Procedures
  3. Warning and Evacuations Process
  4. Evacuation Procedures
  5. Facility/Department Evaluation or site review
  6. Means of egress clearly marked (map posted with exit route and nearest exit)
  7. Emergency Action Plan
  8. Fire Prevention Plan
  9. Fire extinguisher location(s), types and use (P.A.S.S. Pull, Aim, Spray & Sweep)

If you are in an area susceptible to weather emergencies such as tornadoes, the emergency plan should address these as well.

Assessment: Your thoughts are appreciated

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Product DetailsProduct Details

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Understanding the 2020 Corona Virus Economic Crisis

Understanding the 2020 Corona Virus Economic Crisis

By William Poole

Dear Dr. David E. Marcinko,

Thank you for your interest in the Merk Perspective.

Merk Senior Economic Adviser and former St. Louis Fed President William Poole shares his thoughts on how to assess the economic impact of the Corona virus, pointing out in what ways it is different from past crises.

There are several aspects of the crisis that deserve separate attention. Many will seem obvious but nonetheless need to be made explicit to yield a thorough analysis.

MORE: https://www.merkinvestments.com/insights/2020/2020-03-12.php?utm_source=merk&utm_medium=link&utm_campaign=merk-campaign&registered=yes

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Assessment: Your thoughts are appreciated.
***
Best Wishes,

Axel Merk
President and Chief Investment Officer
Merk Investments

***

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

 

Wall Street’s 2020 Price Targets

CIRCA: 12/23/2019

By YAHOO Finance!

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Wither the Experts?

Assessment: Your thoughts are appreciated.

Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

WHAT IS A STOCK MARKET “CIRCUIT BREAKER?”

EXACTLY WHAT IS A STOCK MARKET “CIRCUIT BREAKER?”

cropped-dem

By Dr. David E. Marcinko MBA

Yesterday, within a few minutes of the open, the S&P dropped 7% triggering a Level 1 circuit breaker that paused trading for 15 minutes.

Had the S&P declined 13%, trading would’ve paused another 15 minutes.

Another 20% down and it would have closed.

HISTORY

  • Circuit breakers launched after 1987’s Black Monday when the Dow fell 22.6%.
  • In 2012, the markets closed because of Storm Sandy.
  • Rules were revamped in 2013 after failing to prevent 2010’s “flash crash.”

LINK: https://lnkd.in/eJNz355

And so, according to NYSE President Stacey Cunningham: “I’m seeing markets act normally. They react to uncertainty … they become more volatile.”

GOING FORWARD: Uncle Sam hasn’t yet enacted crisis measures like it did during the financial crisis. Regulators are more alert (take the Fed’s emergency rate cut and $50 billion infusion to its overnight lending). Banks appear to be in relatively good shape. Your thoughts and comments are appreciated.

Assessment: Your thoughts are appreciated.

***

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

 

A Health Care Spending Distribution

CIRCA: 2018

By http://www.MCOL.com

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Assessment: Your thoughts are appreciated.

Product DetailsProduct Details

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Today is International Women’s Day

Courtesy: www.CertifiedMedicalPlanner,org

[By staff reporters]

IWD is now an official holiday in Afghanistan, Armenia, Azerbaijan, Belarus, Burkina Faso, Cambodia, China (for women only), Cuba, Georgia, Guinea-Bissau, Eritrea, Kazakhstan, Kyrgyzstan, Laos, Madagascar (for women only), Moldova, Mongolia, Montenegro, Nepal (for women only), Russia, Tajikistan, Turkmenistan, Uganda, Ukraine, Uzbekistan, Vietnam and Zambia.

The tradition sees men honoring their mothers, wives, girlfriends, colleagues, etc with flowers and small gifts. In some countries IWD has the equivalent status of Mother’s Day where children give small presents to their mothers and grandmothers.

ESSAY: https://medicalexecutivepost.com/2019/03/08/today-is-international-womens-day/

WORKPLACE: https://medicalexecutivepost.com/2011/11/06/sexual-harassment-in-the-workplace/

PREDATORS: https://medicalexecutivepost.com/2011/07/11/who-are-the-sexual-predators/

OIP

Assessment: Your thoughts are appreciated.

TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

***

Another CERTIFIED MEDICAL PLANNER® “In The News”

YAHOO Finance!

Courtesy: http://www.MedicalExecutivePost.com

“The extensive experience of our professional team allows us to implement a rigorous process to identify ‘Best in Class’ opportunities in our focus areas,” said Amaury Cifuentes CFP®, CMP® one of the firm’s founders. “We assist in providing capital, innovative solutions and strategic expertise to our portfolio throughout the investment cycle.”

LINK: www.CertifiedMedicalPlanner.org

The partners in the firm include:

Amaury Cifuentes, CFP®, CMP® has 30 years of experience in banking and finance; financial planning and investments with an emphasis on business lending, real estate and private investments. He is a Certified Medical Planner®, giving him an enhanced knowledge of the medical industry’s specific needs.

LINK: https://finance.yahoo.com/news/bluekey-wealth-advisors-announces-formation-150000988.html

Assessment: Your congratulations are appreciated.

TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

***

TEXTS FOR PHYSICIANS AND ADVISORS

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

THANK YOU

****

THE MEDICAL ROAD FROM “TRIPLE” TO “QUADRUPLE” AIM!

Where are the Physicians?

Courtesy: https://lnkd.in/eXux35G

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 are called the “Triple Aim”.

1- Improving patient experience of care (quality & satisfaction);

2- Improving the health of populations; and

3- Reducing the per capita cost of health care.

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TripleAim

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QUERY: But; what about the physicians; and the primary care doctor dearth? Where are they in this equation? M-4-A? Corona Virus treatment, etc?

PCP PODCAST: https://lnkd.in/erneRRg

IHI PODCAST: https://lnkd.in/ezrxPDy

Assessment: Your thoughts are appreciated.

***

TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

Product DetailsProduct Details

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The Impact of Coronavirus [Covid-19]

People, Economy and Your Portfolio

By Vitaliy Katsenelson CFA

The Coronavirus

I cannot tell you how much displeasure I have experienced from what I am about to say. I’ll be throwing around statistics of people dying as if I am talking not about people but widgets. My six-year-old daughter Mia Sarah had a garden-variety virus a few weeks ago. When my wife told me – a few minutes after I had been reading about coronavirus –for a second my heart sank, as virus to me meant coronavirus.

Even if Mia Sarah had coronavirus, the chances of survival were greatly in her favor. (Coronavirus, like the flu, is exponentially deadlier to older folks than younger ones). However, when it comes to your loved ones, statistics lose their meaning, and you start magnifying tiny probabilities into high-probability outcomes. The coronavirus statistics represent people’s loved ones, but I don’t know how else to write what I am about to write.

I am going to divide this letter into three sections: health and human impact (sometimes a tragic one), economic impact, and investment strategy.

***

LINK:

https://contrarianedge.com/the-impact-of-coronavirus-people-economy-your-portfolio/?utm_source=IMA++-+Main+Articles&utm_campaign=9bd771e575-CORONAVIRUS&utm_medium=email&utm_term=0_f1c90406d1-9bd771e575-55139025

Assessment: Your thoughts are appreciated.

***

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

***

Notable Industry Deaths [Dyson and Welch]

R.I.P Jack Welch and Freeman Dyson

By Dr. David E. Marcinko MBA

I studied both these management icons in business and graduate school. Then, I modified their ideas for my own medical practice and related corporate business entities.

Later, I ported their styles into the healthcare industrial complex and continue to stream line them into my academic professional university endeavors. Many thanks to you both! 

Freeman Dyson in his Own Words

LINK: https://www.technologyreview.com/s/615301/freeman-dyson-in-his-own-words/?utm_source=newsletters&utm_medium=email&utm_campaign=the_download.unpaid.engagement

Jack Welch, Legendary CEO of General Electric, Dies at Age 84

LINK: https://www.wsj.com/articles/jack-welch-legendary-ceo-of-general-electric-dies-at-age-84-11583158270

Assessment: Your thoughts are appreciated

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What is Personal Protective Equipment?

WHAT IS: Personal Protective Equipment?

Courtesy: www.CertifiedMedicalPlanner.org

On “Level One” Infection Control Practices

By Dr. David E. Marcinko MBA

QUERY: We’ve been hearing about PPE since the start of the Corvid-19 epidemic. But, what is it; really? One of my B-School students recently asked me.

ANSWER: PPE is protective clothing, helmets, goggles, garments or equipment to protect one from injury. The hazards include physical, electrical, heat, chemicals, biological and airborne particulates. It may be worn for occupational safety, health purposes, sports and other recreational activities.

LINK: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

INFECTIONS: In terms of high consequence infectious disease control however; we must get a bit more granular in detail.

LINK: http://rcctelemetrytechniciancourse.blogspot.com/2016/03/infection-control-practices.html

HANDS: http://www.msn.com/en-us/health/medical/the-proper-way-to-wash-your-hands-according-to-the-cdc/ar-BB10wiMY?li=BBnb7Kz

PODCAST: https://www.bing.com/videos/search?q=ppe&view=detail&mid=D35783502836CD5DD3F2D35783502836CD5DD3F2&FORM=VIRE

Assessment: Your thoughts are appreciated.

***

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MORE: Call 1-800-CDC-INFO

THANK YOU

Product DetailsProduct DetailsProduct Details

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Another CERTIFIED MEDICAL PLANNER® “In The News”

ANOTHER CERTIFIED MEDICAL PLANNER® “IN THE NEWS”

Courtesy: https://lnkd.in/eVGcji5

“Informed Voice and Next-Gen of Physician Fiduciary Advisors”

AMAURY CIFUENTES CFP® CMP®

“The extensive experience of our professional team allows us to implement a rigorous process to identify ‘Best in Class’ opportunities in our focus areas. We assist in providing capital, innovative solutions and strategic expertise to our portfolio throughout the investment cycle.”

LINK: https://lnkd.in/eBf-4vY

AMAURY has 30 years of experience in banking and finance; financial planning and investments with an emphasis on business lending, real estate and private investments. He is a licensed CERTIFIED MEDICAL PLANNER® giving him an enhanced knowledge of the medical industry’s specific needs.

PRESS RELEASE: https://lnkd.in/ecMbEsQ

CURRICULUM: https://lnkd.in/eMMbbVp

AUTOMATION: https://lnkd.in/eVp9Cji

BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

THANK YOU

3 Theories on Human Behavior

Modern Corono Virus Thoughts?

By: http://www.CertifiedMedicalPlanner.org

Here are a few theories of human behavior for the healthcare industrial complex that might help explain how sector thoughts may not work correctly; all the time.

WHY: Perhaps they might be considered in light of the CorVid-19epidemic?

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Erkson’s Paradox: Strong correlations can fall apart when combined with a larger population. For example, among motorcycle crash victims wearing helmets are more likely to be seriously injured than those not wearing helmets. But, that’s because most crash victims saved by helmets did not need to become hospital patients, and those without helmets are more likely to die before becoming a hospital patient.

Group Attribution Error: Incorrectly assuming that the views of a group member, like a physician, reflect those of the whole group in a different discipline.

***

***

Baader-Meinhof Phenomenon: Noticing an idea or word everywhere you look as soon as it’s brought to your attention in a way that makes you overestimate its prevalence.

LINK: https://www.bing.com/videos/search?q=BAADER-MEINHOF+PHENOMENON&&view=detail&mid=7DA25E95466C56098E5A7DA25E95466C56098E5A&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DBAADER-MEINHOF%2BPHENOMENON%26FORM%3DHDRSC3

The 90-9-1 Rule: In social media networks, 90% of users just read content, 9% of users contribute a little content, and 1% of users contribute almost all the content.

QUERY: Does Social Media give a false impression of what ideas are popular or “average.”

ASSESSMENT: Your thoughts and comments are appreciated.

TEXTS FOR PHYSICIAN EXECUTIVES:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

***

Product DetailsProduct DetailsProduct Details

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Five [5] Reasons to Govern Medical Provider Data

The Heart of the Health Care Enterprise

By http://www.MCOL.com

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Product DetailsProduct DetailsProduct Details

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The Role of “Pleasure” in Public Health

FEBRUARY 2020 AJPH

By Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

Dear Dr. David Marcinko,

***

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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· February 2020 Podcast “Is pornography the key to the sex education of teenagers?”

·  The Public Health of Pleasure: Going beyond Disease Prevention

·  Should Public Health Professionals Consider Pornography a Public Health Crisis?

· Indicators to Guide and Monitor Climate Change Adaptation in the US Pacific Northwest

· Addressing Health Disparities Through Deliberative Citizens’ Panels for Health Equity

·  Trends in E-Cigarette, Cigarette, Cigar, and Smokeless Tobacco Use Among US Adolescent Cohorts

·  State-Level Changes in Firearm Laws and Workplace Homicide Rates: United States

***

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

AJPH

 

Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

@AlfredoMorabia

@AMJPublicHealth

 

WANT TO JOIN A PRIVATE MICRO-NETWORK?

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

***

Tell Us the Issues Affecting your Medical Practice, Clinic, Start-Up Wellness Center or Hospital

Join Our Mailing List

[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.

 

← Back

Thank you for your response. ✨

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

Product DetailsProduct Details

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Is This a “Minsky Moment”

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/

mm

MORE: https://realinvestmentadvice.com/the-return-of-the-minsky-moment/

Your thoughts and comments are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Product DetailsProduct DetailsProduct Details

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Insurers, PBMs and Specialty Pharmacies Today

CIRCA: 2019 Vertical Business Relationships

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Conclusion: Your thoughts are appreciated.

Product DetailsProduct DetailsProduct Details

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US Equity Market Chart Book Review 2020

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.
***

For the complete analysis, we have prepared the following for you:

The U.S. Equity Market Chart Book – PDF

ei

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
President and Chief Investment Officer
Merk Investments

***

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

 

Physician Call for Overhaul of EHRs

Harris Poll of Doctors

[By staff reporters]

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***

Conclusion: Your thoughts are appreciated.

Product DetailsProduct DetailsProduct Details

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FROM “TRIPLE” TO “QUADRUPLE” AIM

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

***

***

QUERY: But what about the physicians?

***

Assessment: Why not include us in a “Quadruple Aim” aspiration?

Conclusion: Your thoughts and comments are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

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U.S. Healthcare Spending Per Capita

CIRCA: 2018

By http://www.MCOL.com

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Conclusion: Your thoughts are appreciated.

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Health Care in America

Salary versus Healthcare Costs

[By staff reporters]

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Tuition Costs V. Medical Care Costs V. Home Prices V. the CPI

In Picto-Graphic Form

[By staff reporters]

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Conclusion: Your thoughts are appreciated.

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Physician “Life-Style Creep”

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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 Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™ Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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Non-Acute Pharmaceutical Spending

Alternate Site Drug Spend Sector Distribution

[By staff reporters]

http://www.MCOL.com

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WHAT IS THE “NUMBER NEEDED TO HARM”?

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.

NNT: https://medicalexecutivepost.com/2010/10/29/about-the-number-needed-to-treat-nnt-calculation-and-medical-outcomes-website/

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:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

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The “Chinee Room” Argument of A.I.

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?

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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CAPITAL BUDGETING AND THE “PAY-BACK PERIOD”

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.

LINK: https://www.amazon.com/Dictionary-Health-Economics-Finance-Marcinko/dp/0826102549/ref=sr_1_6?ie=UTF8&s=books&qid=1254413315&sr=1-6

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://medicalexecutivepost.com/wp-content/uploads/2013/09/managerial-costs.pdf

Your thoughts are appreciated.

THANK YOU

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WHAT IS Ro [r-NOUGHT] IN HEALTH EPIDEMIOLOGY?

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.

LINK: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

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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ECONOMY: http://www.msn.com/en-us/money/markets/coranavirus-outbreak-clouds-2020-view-global-economy-week/ar-BBZyEDY

Your thoughts are appreciated.

LINK: https://www.marketwatch.com/story/coronavirus-spreads-damage-to-wall-street-could-the-us-economy-be-next-2020-02-01?mod=home-page

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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The National Medical Association

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:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

MY SEARCH EXPERIENCE FOR A C.M.I.O JOB

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.

DEFINITION: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

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.

ESSAY: https://medicalexecutivepost.com/2010/07/07/understanding-clinical-and-financial-features-of-medical-practice-emrs-hospital-it-systems/

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://medicalexecutivepost.com/wp-content/uploads/2008/01/hit-security.pdf

Conclusion: And so, your thoughts are appreciated.

THANK YOU

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PODCAST ON “AGORIST” MARKET ECONOMICS

ON “Agorist” FREE-MARKET “Counter” ECONOMIC PRINCIPLES

Courtesy: www.CertifiedMedicalPlanner.org

cropped-dem

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:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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On Deductive & Inductive Reasoning; Null Semantics, Syllogisms and Expletive Logic

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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OFFSETTING COSTS FOR CARDIO-THORACIC SURGICAL HEART SERVICES

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://medicalexecutivepost.com/wp-content/uploads/2007/12/cvpa-3.pdf

Conclusion: Your thoughts are appreciated.

THANK YOU

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Selected US Consumer Goods, Services and Wages

CIRCA: 1998-2018

[By staff reporters]

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THE CORONA VIRUS and Ro [r-NOUGHT]

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.

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TODAY IS PALINDROME DAY

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!”,

LINK: http://www.msn.com/en-us/news/us/palindrome-day-today-is-02-02-2020-the-first-palindrome-day-in-909-years/ar-BBZzo2l?li=BBnbfcL

Your thoughts are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

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Sharp Medical Instruments and OSHA

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?

ESSAY: https://healthcarefinancials.wordpress.com/2009/08/09/osha-and-sharp-medical-instruments/?preview_id=13908&preview_nonce=b0510cb36b&preview=true

Assessment: Your thoughts and comments are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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The Drug Pricing “Theory of Relativity”

ONE SIGN SAYS IT ALL

[By staff reporters]

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A Medicare Shared-Savings Program Snapshot

CIRCA: ACOs 2020

By http://www.MCOL.com

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Need Quality Health Care?

FOR ALL … ALL!

[By staff reporters]

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Market Risk & The All-Terrain Portfolio

Interview by RealVision (In case you missed it)
By Vitaliy Katsenelson CFA
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DEAR ANN AND ME-P READERS: I wanted to share with you a recent interview I did with RealVision TV.
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If you haven’t heard of them, RealVision is an internet-based video platform that features serious, long-form interviews with leading financial thinkers – think of it as “CNBC for grown-ups.” I’ve personally watched a bunch of their interviews, and always find them challenging and enjoyable.
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When I was recently in New York, I sat down with Tony Greer of TG Macro to discuss IMA’s All-Terrain Portfolio, Tesla, Bitcoin, oil, the dollar, value investing, and more – all the usual suspects.
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LINK:
If you’re interested, you can check out the interview above or read a transcript of it here.
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Assessment: Your thoughts are appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
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On Prior Authorization [PA]

A Physician Survey CIRCA: 2018

[By AMA]

DEFINITION: Prior authorization is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost-saving measure although it has received criticism from physicians for being costly and time-consuming.

LINK: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

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