Posted on March 19, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on March 18, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU
***
Filed under: Breaking News, Experts Invited, Health Economics, Quality Initiatives | Tagged: Aaron E. Carroll MD, corona virus, Covid-19 | 1 Comment »
Posted on March 14, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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


***
Filed under: Glossary Terms | Tagged: pi day | Leave a comment »
Posted on March 14, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
***
Filed under: Health Economics, Health Insurance, Healthcare Finance, iMBA, Inc., Quality Initiatives | Tagged: Baader-Meinhof Phenomenon, Berkson’s Paradox:, corona virus, Group Attribution Error, The 90-9-1 Rule | 2 Comments »
Posted on March 13, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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:
- Written Program
- Emergency Notification Procedures
- Warning and Evacuations Process
- Evacuation Procedures
- Facility/Department Evaluation or site review
- Means of egress clearly marked (map posted with exit route and nearest exit)
- Emergency Action Plan
- Fire Prevention Plan
- 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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Filed under: iMBA, Inc., Insurance Matters, Practice Management | Tagged: David Marciniko, Medical Office Fire Drills | Leave a comment »
Posted on March 12, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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®istered=yes
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Assessment: Your thoughts are appreciated.
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Best Wishes,
Axel Merk
President and Chief Investment Officer
Merk Investments
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Filed under: Health Economics, Health Insurance, Quality Initiatives | Tagged: Corona Virus Economic Crisis, Covid-19, Merk, William Poole | 2 Comments »
Posted on March 11, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
CIRCA: 12/23/2019
By YAHOO Finance!
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Wither the Experts?
Assessment: Your thoughts are appreciated.

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Filed under: Investing | Tagged: finance | Leave a comment »
Posted on March 10, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on March 10, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on March 8, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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/

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
***
Filed under: Quality Initiatives | Tagged: International Women’s Day, IWd | 1 Comment »
Posted on March 7, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
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TEXTS FOR PHYSICIANS AND ADVISORS
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THANK YOU
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Filed under: CMP Program, Financial Planning | Tagged: Amaury Cifuentes, CMP Program, Financial Planning, Investing | 1 Comment »
Posted on March 6, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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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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.
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TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:
1 – https://lnkd.in/eEf-xEH
2 – https://lnkd.in/e2ZmewQ
THANK YOU


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Filed under: Quality Initiatives | Tagged: Institute for Healthcare Improvement, Triple Aim | Leave a comment »
Posted on March 5, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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.
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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.
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Filed under: iMBA, Inc. | Tagged: corona virus, Covid-19, Vitaliy Katsenelson CFA | 1 Comment »
Posted on March 4, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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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Filed under: iMBA, Inc. | Tagged: Jack Welch | 2 Comments »
Posted on March 3, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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



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Filed under: Glossary Terms, Quality Initiatives | Tagged: personal protective equipment, PPE | Leave a comment »
Posted on March 2, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
8
THANK YOU
Filed under: CMP Program, Interviews, Investing | Tagged: certified medical planner, CMP™ Course | Leave a comment »
Posted on March 1, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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.
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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
***



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Filed under: Ethics, Glossary Terms, iMBA, Inc. | Tagged: 90-9-1 Rule, Baader-Meinhof Phenomenon, Erkson’s Paradox, Group Attribution Error | Leave a comment »
Posted on February 28, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on February 27, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
FEBRUARY 2020 AJPH
By 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
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Filed under: Experts Invited, Health Law & Policy, iMBA, Inc. | Tagged: Alfredo Morabia, MD, PhD, Role of Pleasure in Public Health | Leave a comment »
Posted on February 26, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
***
Filed under: Career Development, Touring with Marcinko | Tagged: Micro-Networks | Leave a comment »
Posted on February 25, 2020 by Dr. David Edward Marcinko MBA MEd CMP™

[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




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Filed under: "Doctors Only", Career Development, Practice Management, Quality Initiatives | Tagged: Issues Affecting your Clinic, Issues Affecting your Hospital, Issues Affecting your Medical Practice | Leave a comment »
Posted on February 24, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU



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Filed under: iMBA, Inc. | Leave a comment »
Posted on February 24, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
CIRCA: 2019 Vertical Business Relationships
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Conclusion: Your thoughts are appreciated.



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Filed under: Drugs and Pharma | Tagged: Drugs, health insurers, PBMs, Specialty Pharmacies | Leave a comment »
Posted on February 23, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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 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
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Filed under: Investing | Tagged: Axel Merk | Leave a comment »
Posted on February 22, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Harris Poll of Doctors
[By staff reporters]
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Conclusion: Your thoughts are appreciated.



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Filed under: Information Technology, Jokes and Puns | Tagged: EHRs, EMRs, IT. HIT | 4 Comments »
Posted on February 21, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU


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Filed under: Health Economics, Quality Initiatives, Research & Development, Videos | Tagged: Book Dr. Marcinko, Healthcare Improvemen, Triple Aim | Leave a comment »
Posted on February 20, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on February 20, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on February 19, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
In Picto-Graphic Form
[By staff reporters]
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Conclusion: Your thoughts are appreciated.
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Filed under: Health Insurance, Healthcare Finance, Investing | Tagged: CPI, healthcare costs, Medical care costs, tuition costs | 3 Comments »
Posted on February 19, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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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Filed under: Financial Planning | Tagged: lifestyle creep | Leave a comment »
Posted on February 18, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on February 17, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
THANK YOU



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Filed under: Glossary Terms, iMBA, Inc., Research & Development | Tagged: NNTH, Number Needed TO Harm | Leave a comment »
Posted on February 16, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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.
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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Filed under: Information Technology, Touring with Marcinko, Videos | Tagged: "Chinee Room" Argument, A.I., artificial intelligence | Leave a comment »
Posted on February 15, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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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Filed under: Information Technology, Practice Management | Tagged: Digital Health, Fritz Kahn, Igor Korolev DO, PhD, telemedicine | 1 Comment »
Posted on February 12, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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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Filed under: Practice Management | Tagged: CAPITAL BUDGETING AND THE “PAY-BACK PERIOD”, Pay-Back Period | Leave a comment »
Posted on February 11, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
8
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Filed under: Health Economics, Investing, Portfolio Management, Research & Development | Tagged: corona virus, Epidemiology, r-NOUGHT, Ro, WHO | Leave a comment »
Posted on February 11, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
Filed under: "Doctors Only", Practice Management | Tagged: Black History Month, Dr. Daniel Hale Williams, National Medical Association, NMA | Leave a comment »
Posted on February 10, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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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Filed under: Information Technology, Touring with Marcinko | Tagged: Chief Medical Information Officer, CMIO | Leave a comment »
Posted on February 9, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU

***
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 »
Posted on February 8, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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 »
Posted on February 7, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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


***
Filed under: Health Economics, Touring with Marcinko | Tagged: CARDIO-THORACIC SURGERY | 1 Comment »
Posted on February 5, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on February 4, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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 »
Posted on February 2, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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



THANK YOU
***
Filed under: Health Economics | Tagged: PALINDROME | 1 Comment »
Posted on February 2, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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
***
Filed under: Health Law & Policy | Tagged: Scalpels, Sharp Medical Instruments and OSHA, sharps | Leave a comment »
Posted on January 31, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
ONE SIGN SAYS IT ALL
[By staff reporters]
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Filed under: Drugs and Pharma | Tagged: drug prices, narcan | Leave a comment »
Posted on January 30, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
Posted on January 29, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
FOR ALL … ALL!
[By staff reporters]
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Filed under: iMBA, Inc. | Tagged: medical quality, medical quality improvement | Leave a comment »
Posted on January 28, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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:
THANK YOU
***
Filed under: Experts Invited, Investing, Videos | Tagged: Market Risk & The All-Terrain Portfolio, Risk Adjusted Rate Return, Vitaliy Katsenelson CFA | Leave a comment »
Posted on January 27, 2020 by Dr. David Edward Marcinko MBA MEd CMP™
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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Filed under: Practice Management | Tagged: AMA, Prior Authorization | Leave a comment »
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
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.
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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU
***