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Weekly ME-P Domestic Economic Updates

Posted on May 6, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

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Synopsis of the Most Recent Week Ending May 4th, 2012 … and Weekly Thereafter

[By Dr. David Edward Marcinko MBA]

Dr. David E. Marcinko MBA

The US economy continues to seek traction.

The latest Federal, Bureau Labor Statistics, Gross Domestic Product and Gross National Product reports – along with employment, housing, manufacturing and other leading macro and microeconomic indicators – seem to suggest soft job growth, weak business activity in the huge service sector, and increasingly cautious consumers.

Yet manufacturing activity appears to be solid and employers seem poised to hire—but who knows when?

Assessment

A new ME-P feature, and brief review for financial advisors, physician investors, healthcare economists and all ME-P readers and subscribers.

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.

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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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FINANCE: Financial Planning for Physicians and Advisors
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Financial Planning MDs 2015

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Filed under: Alerts Sign-Up, Breaking News, Financial Planning, Health Economics, Investing | Tagged: BLS, GDP, GNP, leading economic indicators, macro-economics, micro-economics, Weekly Domestic Economic Update | 147 Comments »

Seeking Managed Care Nurse Executive‏

Posted on May 4, 2012 by Dr. David Edward Marcinko MBA MEd CMP™
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By Paul Esselman
Dear Medical Executive-Post Readers,

Cejka Executive Search is actively seeking an accomplished nurse executive with recent managed care experience to direct and coordinate the medical management, quality improvement and credentialing functions on behalf of a newly developed, Chicago based Medicaid managed care plan.

Would you have individuals within your professional network that you could recommend for this role?

Thank you, in advance, for your consideration.

 

Cejka Executive Search
pesselman@cejkasearch.com
800-209-8143, Extension 63465

Conclusion

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Filed under: Alerts Sign-Up, Career Development | Tagged: Cejka Executive Search, Managed Care, nurse executive, Paul Esselman, Seeking Managed Care Nurse Executive | Leave a comment »

About PlaceMe

Posted on May 1, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

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Always remember your places

PlaceMe™ is a free smart phone app that always remembers the places you visit. It’s automatic so no need to ever ‘check-in’

Features

  • Automatic
  • No Check-ins Required
  • Private
  • Location is Never Broadcast
  • Easy
  • Quickly Search All Your Visits

Assessment

Your places remembered.

Conclusion

Your thoughts and comments on this ME-P are appreciated. Visit and use https://placemeapp.com/placeme and tell us what you think? Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Hospitals: http://www.crcpress.com/product/isbn/9781439879900

Physician Advisors: www.CertifiedMedicalPlanner.org

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Filed under: Alerts Sign-Up, Career Development, Information Technology | Tagged: PlaceMe, PlaceMe.com | 2 Comments »

How Brand Loyal Are Orthopedic Surgeons?

Posted on April 22, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

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On Consolidating DME Vendors

As hospitals look to lower costs, one popular option is to consolidate to a single vendor in categories such as knee implants. To do this, hospitals need to convince surgeons to change the brand that they use. This is difficult in any hospital as surgeons tend to be loyal and rarely change over time.

Therefore most hospitals have multiple brands per category, especially in service lines with 4+ surgeons.

Conclusion

Your thoughts and comments on this ME-P are appreciated. How brand loyal are orthopods, dental, podiatric or other surgeons? 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.

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Hospitals: http://www.crcpress.com/product/isbn/9781439879900

Physician Advisors: www.CertifiedMedicalPlanner.org

Hospitals & Healthcare Organizations: Management Strategies, Operational Techniques, Tools, Templates and Case Studies

Hospitals & Healthcare Organizations: Management Strategies, Operational Techniques, Tools, Templates and Case Studies

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Filed under: "Doctors Only", Alerts Sign-Up, Career Development, iMBA, Inc. | Tagged: DME, How Brand Loyal Are Orthopedic Surgeons?, medical vendors, orthoods | Leave a comment »

Understanding the Foreclosure Crisis

Posted on April 19, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

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10 Questions – And Answers

By Blair Hickman
ProPublica, April 18, 2012, 10:56 a.m.

Last week, our reporter Paul Kiel took time out from promoting his e-book [1] to answer reader questions on Reddit [2] about the foreclosure crisis, buying a home and how he got started as an investigative journalist.

We rounded up some of the best, trying to represent a full view of the chat (and the crisis.)

Link: http://www.propublica.org/article/11-questions-and-answers-to-help-you-understand-the-foreclosure-crisis

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Hospitals: http://www.crcpress.com/product/isbn/9781439879900

Physician Advisors: www.CertifiedMedicalPlanner.org

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Filed under: Alerts Sign-Up, Financial Planning, iMBA, Inc., Mortgage Electronic Registry System | Tagged: Blair Hickman, short sales, Understanding the Foreclosure Crisis, underwater mortgages | 2 Comments »

Searching for Director of Resource, Quality and Utilization for Case Management

Posted on January 8, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

Job Opportunity – Please Contact Us Now‏

By Terry Thormodsgaard

CEO and President

The Thor Group

Director@ThorConsultingGroup.com

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Dear Dr. David E Marcinko and ME-P Readers,

As a professional who has worked in the Healthcare industry with Director level experience with resource, quality improvement and utilization management in the case management area, you have developed the knowledge and skills our client is seeking. This is a great opportunity to work on and grow both your professional and personal skills in an exciting, rewarding and fun environment! Listed below may be the career and life style opportunity you have been looking for.

Please only respond if you answer YES to all the four questions below or share this email with somebody you know who is qualified for this position:

1. Do you have experience as a Director of Resource, Quality Improvement and Utilization for Healthcare Case Management?

2. Do you have supervisory experience in a hospital setting of 10 to 30 case managers?

3. Are you a clinician or nurse or RN or Physician?

4. Are you willing to live and work on the sunshine state of Florida – near Sarasota?

If this opportunity doesn’t fit you — Do you know someone who might be qualified for this opportunity and can you please send us their contact information? Or please have them contact us directly at Director@ThorConsultingGroup.com

Life Style for You

· Relax and enjoy the Florida beach lifestyle

· Within a short driving distance experience beauty and variety in the sunshine state.

· Take a short drive up the highway for that breathtaking tour of the ocean and various scenic offerings.

· You are minutes from the top entertainment areas that include museums, theaters, gaming, sports, recreational centers, parks, hiking trails, plus more

· For those who want the gym within a short walking distance, there are elegant to regular workout facilities you may join

· For those who enjoy variety with eating or dining, there are several authentic ethnic fine-dining as well as family-owned local restaurants in the area.

· With those where spiritual balance and focus is valued the array of offerings is large.

· If you enjoy academic intellectual stimulation and professional/personal growth, this area has abounding opportunities.

· For the family, the area has top notch schools with numerous programs that match up to your family’s interests.

· For the shopper and bargain hunter, there are several shopping centers and discount stores in the area.

· This area has a reputation of being safe and comfortable.

· Live the dream of having an affordable house.

· And yes – There are no state taxes so keep more of what you earn.

About the Thor Group

THOR, Inc. is a cutting-edge Healthcare business solutions firm that has been working with some of the top companies throughout the United States for over 36 years. Ethics, quality, team work and esprit de corps, represent our values. For more information please refer to our website.

Director of Quality – Healthcare

As the Director, you will lead teams in areas such as Case Management, Quality Management, Quality Improvement, Social Services, Denial Management, Recovery Audit Contractor (RAC), Nurse Auditing programs as well as other initiatives that impact patient care. You will be a key driver for annual budget development, new program development, establishing department policies and procedures as well as creating department goals and objectives. You will be the cornerstone that maintains quality assurance. Your leadership that helps promote and coordinate quality improvement and activities with other departments is respected by this healthcare organization. Your creativity and insight to provide and maintain optimal standards of patient care will be appreciated by this organization.

Responsibilities:

· Physicians quality issues addressed in meetings- Quality Committee Lead.

· Learning what processes are currently being used in the clinical setting.

· Evaluate current process and then help teach managers how to be PI leaders.

· Collect data and develop reports for Senior Management.

· Patient surveys and inquires.

· Evaluate patient satisfaction and risk management and develop process improvements.

Experience:

· Healthcare clinical background.

· Ability to come up with solutions to quality issues.

· Ability to compile clinical data and put in a useful report form.

· Experience with risk management issues.

· Experience with tools to evaluate patient satisfy and developing ideas to improve.

Thor considers it both a privilege and an exceptional opportunity to support Healthcare Director careers. I sincerely hope you email Director@ThorConsultingGroup.com your updated resume and simply indicate to us any pertinent career earnings, geography, technology, or other objectives you many have.

www.ThorConsultingGroup.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

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Sponsors Welcomed: And, credible sponsors and like-minded advertisers are always welcomed.

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Filed under: Alerts Sign-Up, Career Development, Quality Initiatives | Tagged: Quality and Utilization for Case Management, Searching for Director of Resource | 1 Comment »

About ME-P Premium [Text] Link Advertising

Posted on January 7, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

Our Readers are Interested in What You’ve Got to Say

By Ann Miller RN MHA [Executive-Director]

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What are Premium Links?

Premium [text] Links are a great advertising option because they look just like our regular “site content”, and so are generally more attractive to visitors.

How they Work?

For 1 month, 3 months, 6 months, or a full year, your company’s information, web site and email address can be placed on just about any post or page on the Medical Executive-Post.

Our Policies

1) Premium [context] link ads must be relevant to the healthcare, medical management or financial services industry, and are subject to editorial review.

2) We allow up to four Premium [text] Link ads per page, on a “first come, first served” basis.

3) Premium [text] Link ad placements are “page specific”, meaning you choose the ME-P post or page on which to advertise (thus targeting a specific audience).

4) Perma-Pages are more expensive than Posts.

Start advertising today!

Here’s how:

1) Contact us for a rate card or quote.
2) Send in your ad info to Ann Miller RN MHA
3) Pay with your PayPal account.

If you have any questions, please email or call.

  • MarcinkoAdviasors@msn.com
  • Phone: 1-770.448.769

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Filed under: Alerts Sign-Up, Marketing & Advertising, Media Mentions and PR | Tagged: Premium Link Advertising on the ME-P, premium links, text links | 2 Comments »

Seeking Chief Medical Director [CMD] for LHCs

Posted on January 6, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

Professional Opportunity

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By Janice Perino
Associate Consultant
Cejka Executive Search

Dr. Marcinko, 

Centene Corporation is seeking a Chief Medical Director (CMD) for Louisiana Healthcare Connections (LHC), a joint venture between Centene Corporation and Louisiana Partnership for Choice and Access comprised of 19 non-profit Louisiana FQHCs.  The regional headquarters for Louisiana Healthcare Connections is located in Baton Rouge,Louisiana.

Establishing the Strategic Vision

The Chief Medical Director will be integral in establishing the strategic vision and clinical policies and procedures for LHC.  The CMD will provide leadership and direction to the medical management, quality improvement and credentialing functions for the health plan based on, and in support of, the company’s strategic plan.  The CMD will review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.

Also within the purview of CMD will be oversight for compliance with National Committee on Quality Assurance (NCQA) and/or Joint Commission on Accreditation of Healthcare Organization (JCAHO) standards as determined for accreditation of the health plan. 

Assessment

Successful candidates will be physician leaders with thorough knowledge of quality improvement practices and familiarity with medical information systems, medical claims payment processing and coding. Knowledge of managed care, Medicaid and case management programs are also essential. Board certification in a recognized medical specialty and an active medical license are required.   

I would welcome your interest or nominations.

4 CityPlace Dr., Ste. 300
St. Louis, MO 63141
314.236.4419 Office
jperino@cejkasearch.com
http://www.cejkaexecutivesearch.com

Conclusion       

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Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

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Filed under: "Doctors Only", Alerts Sign-Up, Career Development | Tagged: Cejka Executive Search, Centene Corporation, Janice Perino, JCAHO, Joint Commission on Accreditation of Healthcare Organization, Louisiana Healthcare Connections, National Committee on Quality Assurance, NCQA, Seeking Chief Medical Director | Leave a comment »

Holiday Plane Travel the Healthy Way

Posted on December 22, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Staying Comfortable –  Reducing Stress

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Is there a doctor on the plane? Every MDs nightmare.

Flying is the most popular form of long-distance travel. It’s safe, convenient and fast, but becoming a bit expensive of late.

And, while flying isn’t always the most comfortable experience, there are several steps you can take before, during and after your flight to make it safer, healthier and less stressful.

So, there won’t be a need … for the dreaded announcement. 

Source: Greatist.com

Conclusion 

And so, your thoughts and comments on this ME-P are appreciated. Please review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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Filed under: Alerts Sign-Up | Tagged: flying healthy, Holiday Travel the Healthy Way, Plane Travel the Healthy Way | Leave a comment »

Is Job Stress Killing Healthcare and Financial Service Workers?

Posted on December 21, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Where are You on the List?

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We may accuse each other of exaggerating when we say our jobs are killing us, but it might not be that much of an exaggeration. Dozens of studies over the years have linked job stress to increased incidences of disease and death.

And so, discover who is at risk; what causes workplace stress, what the likely consequences are and how both employers and employees can reduce the problem.

Source: HumanResourcesMBA.org

Assessment

Top Ten Most Stressful Jobs

#8. Stock-broker

#9. EMT

#10. Real Estate Agent

Top Ten Least Stressful Jobs

#1. Dietitian

#5. Dental Hygienist

#6. Speech Pathologist

#9. OT

#10: Chiropractor

Conclusion      

And so, your thoughts and comments on this ME-P are appreciated. Do you agree or disagree with these lists; what are the alternatives? 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.

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

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Filed under: Alerts Sign-Up, Career Development | Tagged: Job Stress | 1 Comment »

The Impact of Holiday Giving

Posted on December 21, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Making a Difference in the Fight Against Cancer

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Thanks in part to donations from people like ME-P readers; we are able to provide year-round support to cancer patients and their loved ones. 

For example, in 2011, we helped an increasing number of people stay well and get well, we continued to invest in research to find cancer’s causes and cures, and we rallied more communities to fight back.

Source: cancer.org

Conclusion

And so, your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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Filed under: Alerts Sign-Up, Ethics | Tagged: Fight Against Cancer | 2 Comments »

Celebrating National Hand Washing Awareness Week 2011

Posted on December 6, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

December 4-10, 2011

By Dr. David Edward Marcinko FACFAS, MBA, CMP™

[Editor-in-Chief]

Hand washing is one of the best ways to prevent the transmission of disease, especially during influenza season. And, public health officials are using National Hand Washing Awareness Week, December 4-10, as an opportunity to remind people – and medical professionals – about this simple and inexpensive disease prevention technique.

“Hand washing helps prevent catching and spreading colds, the flu, hepatitis A, meningitis, and infectious diarrhea, as well as many other diseases” and “it also reduces the chances of acquiring a community acquired, nosocomial, surgical or hospital acquired infection [HAI]” says Hope Rachel Hetico RN MHA CMP™ of this Medical Executive Post.

When to Wash

From the Center for Disease Control and Prevention [CDC], here in Atlanta:

  • Before, during, and after preparing food
  • Before eating food
  • Before and after caring for someone who is sick
  • After changing diapers or cleaning up a child who has used the toilet
  • After blowing your nose, coughing, or sneezing
  • Before you insert or remove contact lenses
  • After you use the bathroom or change a diaper
  • After handling uncooked foods, especially meat, poultry or fish
  • After handling animals or animal waste
  • After you handle garbage or dirty laundry, and;
  • When your hands are dirty.

How to Wash

Hetico also says: “The most effective way to wash your hands is to wet them and apply a liquid or clean bar soap. Rub your hands vigorously together for at least 15-30 seconds to dislodge and remove germs, and then rinse your hands well and dry them.”

Furthermore, according to http://www.salmonellablog.com and the Oklahoma State Department of Health’s Epidemiologist, Becky Coffman, RN, MPH, “You can infect yourself when you touch your eyes, nose or mouth after your hands have picked up germs from other sources such as people, uncooked foods or contaminated environmental areas,” Coffman said. “One of the most common ways people catch colds is by rubbing their nose or their eyes after their hands have been contaminated with the cold virus.”

http://www.jeffersonhospital.org/The-Daily-Dose/2011/December/wash-em-for-handwashing-awareness-week.aspx

For Medical Professionals, Too!

http://www.infectioncontroltoday.com/articles/2001/05/how-to-perform-surgical-hand-scrubs.aspx

And, for the medical folks among us, Debra Hudson CST demonstrates how to do a surgical hand scrub:

http://www.youtube.com/watch?v=xQtyF-eh3po

Assessment

I edited a popular medical textbook on bone and soft tissue extremity infections, back in the day. And, it infuriates me when I see doctors – not so much nurses – not wash their hands or indiscriminately introduce external fomites into the patient environment.

I’ve even witnessed ID doctors wander from patient room to room without so much as a pause between dressing changes or wound inspections.

Remember, colleague David Schwegman MD at Emory University reports that an HAI adds about $14,000 to the average hospital bill; discounting patient pain and disfigurement.   

http://www.welchallyn.com/documents/Blood%20Pressure%20Management/FlexiPort%20Blood%20Pressure%20Cuffs/ICT_article2_OLC.pdf

Conclusion       

And so, 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.

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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Filed under: Alerts Sign-Up, Quality Initiatives | Tagged: HAIs, hospital acquired infections, National Hand Washing Awareness Week, nosocomial infections | 3 Comments »

Beware CYBER MONDAY Hacks and Scams

Posted on November 28, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Doctor Shoppers and All Consumers Beware!

***

The holiday season signals the time of year when consumers are often at the highest risk of falling victim to hackers and scammers whose schemes can fool even the most experienced online shoppers.

This infographic advises both web merchants and consumers on how to avoid Black Friday and Cyber Monday attacks.

***

Assessment

This essay is a surrogate case example applicable to medical professionals considering the plethora of eMR, eHR and PHR security issues of modern healthcare delivery.

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

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  • CLINICS: http://www.crcpress.com/product/isbn/9781439879900
  • ADVISORS: www.CertifiedMedicalPlanner.org
  • BLOG: www.MedicalExecutivePost.com
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Filed under: Alerts Sign-Up, Ethics, Industry Indignation Index, Information Technology, LifeStyle, mental health | Tagged: cyber monday, e-commerce Hacks and Scams | 5 Comments »

Occupy Wall Street – and Doctors?

Posted on November 7, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Why Are People Protesting?

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Since the Canadian activist group, Adbusters, called for everyone to Occupy Wall Street on September 17th, 2011, millions of people worldwide have joined the movement.

Pushing primarily for greater wealth equality in the US, and less corporate influence over the government, the OWS movement is one that aims to lessen the gap between the 99% and the wealthiest 1% inAmerica.

Source: freephonetracer.com

Assessment

Dentist, uber-blogger and investigative reporter Darrell K. Pruitt DDS was the first to mention this movement on the ME-P. Do you think it has wings? How does it affect medical professionals and financial advisors, if at all? How about domestic politics, in general?

Conclusion                

And so, your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

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Filed under: Alerts Sign-Up, Ethics | 5 Comments »

The Changing Physician Practice Business Paradigm

Posted on November 4, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Will “Private Practitioners” Become Dinosaurs?

By Dr. David Edward Marcinko MBA CMP™

[Publisher-in-Chief]

Yesterday is Past

In 2000, we www.MedicalBusinessAdvisors.com reported in the first edition of www.BusinessofMedicalPractice.com that nearly 60% of all physicians were practicing independently.

But, this business model has changed significantly by 2011.

Tomorrow is Future

Now, compare that to two years from now, when it’s predicted that just 33% of all doctors will continue to practice solely outside of a larger health system.

Assessment

Yep –  it is true – according to a report from Accenture, the global consulting company that just released those figures. In fact, they estimate that between now and 2013, the rate at which independent doctors are being employed by larger healthcare systems will increase by 5% per year.

Conclusion

And so, 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.

 http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

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Filed under: Alerts Sign-Up, Book Reviews, Career Development | Tagged: Accenture, Changing Physician Practice Business Paradigm, david marcinko, private medical practice, www.BusinessofMedicalPractice.com, www.medicalbusinessadvisors.com | 1 Comment »

Halloween Trends for 2011

Posted on October 31, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Have an Epic Day!

By Ann Miller RN MHA [Executive-Director]

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Halloween is a favored holiday in the US. And, every year at the ME-P, we have a pretty epic Halloween party full of creative costumes, candy and of course plenty of palatable potions. This year, it’s sure to be better than ever.

So, here are some interesting Halloween trends for 2011.

Assessment

Source: www.anidea.com

Conclusion                

And so, your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

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Filed under: Alerts Sign-Up, Uncategorized | Tagged: halloween, Halloween Trends for 2011 | 2 Comments »

What drives the seemingly benign Occupy Wall Street movement?

Posted on October 29, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Occupy Wall Street (OWS) – Outing the Ringers

By Darrell K. Pruitt DDS

Have you heard of popular New York hip-hop artist Jay Smooth and his political http://illdoctrine.com blog?

Until I watched his catchy video promotion of OWS this morning, I thought the vague protest suffered from lack of focus. Though Jay failed to succinctly define what motivation is keeping the protestors on the cold streets long after I thought they would go home, he at least distilled the reasons down to a vague dozen or so.

Link: http://www.youtube.com/watch?v=i9zkQcLi4Yo&feature=youtube_gdata_player

Assessment

I have to say that I was more impressed the first time I listened to his work than the second. I think his unique, supportive style is more likely to catch on than his message.

Conclusion                

And so, your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Sponsors Welcomed: And, credible sponsors and like-minded advertisers are always welcomed.

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Filed under: Alerts Sign-Up, Pruitt's Platform | Tagged: Darrell Pruitt, http://illdoctrine.com/, Jay Smooth, Occupy Wall Street movement, OWS | 4 Comments »

Facing Down Mental Illness?

Posted on October 22, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Promoting Mental Health … and Mental Health Week

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October 2nd-8th was Mental Illness Awareness Week (MIAW) and an opportunity to learn more about mental illnesses such as depression, bipolar disorder and schizophrenia.

Advocates across the country sponsored a variety of events to promote community outreach and public education concerning mental illnesses. The aim of the week was to reduce the stigma associated with mental illness and dispel some of the fears we have about people with mental illness.

Congress established the first MIAW in 1990 in recognition of the efforts of the National Alliance on Mental Illness (NAMI) to raise awareness about mental illnesses.

Source: School of Social Work

Assessment

In 2008, Congress passed the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act taking a great step forward in the decade-plus fight to end insurance discrimination against those seeking treatment for mental health and substance use disorders. This law requires health insurance to cover both mental and physical health equally. Under this law, insurance companies can no longer arbitrarily limit the number of hospital days or outpatient treatment sessions, or assign higher co-payments or deductibles for those in need of psychological services.

The 2008 act closes several of the loopholes left by the 1996 Mental Health Parity Act and extends equal coverage to all aspects of health insurance plans, including day and visit limits, dollar limits, coinsurance, co-payments, deductibles and out-of-pocket maximums. It preserves existing state parity and consumer protection laws while extending protection of mental health services to 82 million Americans not protected by state laws. The bill also ensures mental health coverage for both in network and out-of-network services.

Research shows that physical health is directly connected to mental health and millions of Americans know that suffering from a mental health disorder can be as frightening and debilitating as any major physical health disorder. Passage of this law will lead the health care system in the United States to start treating the whole person, both mind and body.

-American Psychological Association

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

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

  • PRACTICES: www.BusinessofMedicalPractice.com
  • HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
  • CLINICS: http://www.crcpress.com/product/isbn/9781439879900
  • ADVISORS: www.CertifiedMedicalPlanner.org
  • FINANCE: Financial Planning for Physicians and Advisors
  • INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
  • Dictionary of Health Economics and Finance
  • Dictionary of Health Information Technology and Security
  • Dictionary of Health Insurance and Managed Care

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Filed under: Alerts Sign-Up, Ethics, Health Insurance | Tagged: bipolar disorder, depression, Mental Health Parity and Addiction Equity Act, Mental Illness, Mental Illness Awareness Week, National Alliance on Mental Illness, Paul Wellstone, Pete Domenici, schizophrenia. | 5 Comments »

Doctors – Talk to Us!

Posted on October 21, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Join the ME-P

By Ann Miller RN MHA

[Executive-Director]

Join Our Mailing List 

“Companies that don’t realize their markets are now networked person-to-person, and getting smarter as a result and deeply joined in conversation, are missing their best opportunity.”

Thesis 18 [The Cluetrain Manifesto]

And so, participate in exclusive research, lend your voice to our ME-P discussions, and share ground-breaking content with your administrative staff and medical colleagues.  

 

 www.HealthcareFinancials.com   

HO-JFMS-CD-ROM

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Some Readings on Aging and Health

Posted on October 9, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Some Lite NBER Reading for Doctors and Financial Advisors

By Staff Reporters

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The National Bureau of Economic Research Bulleten  2011 No. 2  includes the articles below:

1) Technology Growth and Expenditure Growth in Health Care; by Amitabh Chandra and Jonathan Skinner http://www.nber.org/aginghealth/2011no2/w16953.html

2) Demand for Health Insurance Among the Uninsured; by Alan Krueger and Ilyana Kuziemko http://www.nber.org/aginghealth/2011no2/w16978.html

3) Does Framing Affect Social Security Claiming? by Jeffrey Brown, Arie Kapteyn, and Olivia S. Mitchell http://www.nber.org/aginghealth/2011no2/w17018.html

4) The Asset Cost of Poor Health; by James Poterba, Steven Venti, and David Wise http://www.nber.org/bah/2011no1/w16389.html

Abstracts of Selected Recent NBER Working Papers: http://www.nber.org/aginghealth/2011no2/WorkingPaperSummaries.html

NBER Profile: Kent Smetters http://www.nber.org/aginghealth/2011no2/smetters.html

Conclusion

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Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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Filed under: Alerts Sign-Up, Book Reviews, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: Health Economics, Health Insurance, health policy, Healthcare Finance, Kent Smetters, National Bureau of Economic Research, NBER | Leave a comment »

Events Planner: October 2011

Posted on October 1, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

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Events-Planner: OCTOBER 2011

By Staff Writers

“Keeping track of important health economics and financial industry meetings, conferences and summits”

Welcome to this issue of the Medical Executive-Post and our Events-Planner. It contains the latest information on conferences, news, and relevant resources in healthcare finance, economics, research and development, business management, pharmaceutical pricing, and physician/entity reimbursement!  Watch for a new Events-Planner each month.

First, a little about us! The Medical Executive-Post is still a relative newcomer. But today, we have almost 175,000 visitors and readers each month from all over the country, in addition to our growing subscriber base. We have been a successful collaborative effort, thanks to your contributions.  As a result, we are adding new resources daily. And, we hope the website continues to provide the best place to go for journals, books, conferences, educational resources, tools, and other things you need to establish the value your healthcare consulting and financial advisory intervention.

So, enjoy the Medical Executive-Post and this monthly Events-Planner with our compliments. 

 A Look Ahead this Month – And now, the important dates:

  • October 02-05: SRI in the Rockies, Sheraton, New Orleans, LA.
  • October 12-14: Comparative Effectiveness Summit, Washington, DC.
  • October 16-18: REISA Annual Conference, Mirage, Las Vegas, Nevada.
  • October 16-19: American Society Healthcare Risk Management, Phoenix, AZ.
  • October 20-21: The Connected Health Symposium, Boston, MA.
  • October 23-28: Leadership Strategies for Healthcare Executives, Boston, MA.
  • October 27-28: TIPAAA-Regional Executive Summit, Las Vegas, NV. 

Please send in your meetings and dates for listing in the next issue of our Events-Planner.

MarcinkoAdvisors@msn.com

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com 

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[Health] Plan Management Navigator for September

Posted on September 7, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Selected TPA Benchmarks

By John Park

sherlock@sherlockco.com

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Dear ME-P Messrs and Mesdames:

In this edition of Plan Management Navigator, we summarize the results of selected TPAs. Administrative expenses for core services of selected TPAs were 98% of fees in 2010. This was $18.72 per employee per month (PEPM) or $8.08 per member per month (PMPM). Core Medical product costs were $22.15 PEPM and $10.99 PMPM.

Elite Performers 

While the universe of participants was small, at 7 TPAs serving 1.4 million people, the surveyed TPAs may well be elite performers. Function-by-function, these TPAs had lower costs than are typically found in competitive products of Blue Cross Blue Shield and Independent/ Provider-Sponsored plans.  They are also typically among the largest 20% of TPAs. Finally, they have accounting systems sufficiently robust to report with the granularity required of the Sherlock survey. If one subscribes to the adage, “you manage what you measure,” strong reporting is an indicator of effective management.

Sherlock TPA Benchmarks

The Sherlock TPA benchmarks are designed to overcome TPAs’ historic performance measurement challenges. We overcome the diversity of products sold through a highly granular presentation, and inconsistency of TPA reporting conventions through our unique, industry-based cost classification system. It is informed by 514 health benefit organization years of experience, and more than 60% of all insured Americans are users of the 2011 edition of the Sherlock benchmarks.

Assessment 

The summary in Navigator is excerpted from the 2011 TPA edition of the Sherlock Expense Evaluation Report, which is now available to licensees and participants.

Link: September 2011 Navigator

Sherlock Company
Douglas B. Sherlock, CFA
Ph: 215-628-2289

Conclusion

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Filed under: Accounting, Alerts Sign-Up, Health Economics, Healthcare Finance, Practice Management, Research & Development | Tagged: Douglas B. Sherlock CFA, John Park, Plan Management Navigator, Sherlock Company, TPA benchmarks | 1 Comment »

Four Things Doctors, Financial Advisors and the Rest of Us Might NOT Know about Cell Phones

Posted on August 23, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

This Information May be a Life Saver!

By Anonymous

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For all the doctors, Financial Advisors, medical management consultants and ME-P readers with cell phones, this info should be printed and kept in your car, purse, and/or wallet. It is vital information to have with you. It just may safe a /your life.

There are a few things that can be done in times of grave emergencies. Your mobile phone can actually be a life saver or an emergency tool for survival. Check out the things that you can do with it:

FIRST (Emergency)

The Emergency Number worldwide for Mobile is 112. If you find yourself out of the coverage area of your mobile network and there is an Emergency, dial 112 and the mobile will search any existing network to establish the emergency number for you, and interestingly, this number 112 can be dialed even if the keypad is locked. Try it out.

SECOND (Hidden Battery Power)

Imagine your cell battery is very low. To activate a cell phone battery just press keys *3370#. Your cell phone will restart with this reserve and the instrument will show a 50% increase in battery. This reserve will get charged when you charge your cell phone next time.

THIRD (How to disable a STOLEN mobile phone? )

To check your Mobile phone’s serial number, key in the following Digits on your phone: *#06#  

A 15-digit code will appear on the screen. This number is unique to your handset. Write it down and keep it somewhere safe. If your phone is stolen, you can phone your service provider and give them this code. They will then be able to block your handset so even if the thief changes the SIM card, your phone will be totally useless. You probably won’t get your phone back, but at least you know that whoever stole it can’t use/sell it either. If everybody does this, there would be no point in people stealing mobile phones.

FORTH (Free Directory Service for Cells)

Cell phone companies are charging us $1.00 to $1.75 or more for 411 information calls when they don’t have to. Most of us do not carry a telephone directory in our vehicle, which makes this situation even more of a problem. When you need to use the 411 information option, simply dial:

(800) FREE411 or (800) 373-3411 without incurring any charge at all! Program this into your cell phone now.

Assessment

Print and put in your glove compartment. No guarantees. Subject to change without notice!

Conclusion

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Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

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Filed under: Alerts Sign-Up, iMBA, Inc., Research & Development, Risk Management | Tagged: cell phone information, cell phones, Four Things you Might not Know about Cell Phones | 3 Comments »

Confusing Drug Labels [Risperdal vs Requip]

Posted on August 21, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Risperidone vs Ropinirole

By Ann Miller RN MHA

[Executive-Director]

The FDA recently notified all doctors, healthcare professionals and the public of medication error reports in which patients were given risperidone (Risperdal) instead of ropinirole (Requip) and vice versa. In some cases, patients who took the wrong medication needed to be hospitalized.

The FDA determined that the factors contributing to the confusion between the two products include:

  • Similarities of both the brand (proprietary) and generic (established) names
  • Similarities of the container labels and carton packaging
  • Illegible handwriting on prescriptions
  • Overlapping product characteristics, such as the drug strengths, dosage forms, and dosing intervals.

Background

Risperidone (Risperdal) is an antipsychotic medication used to treat mental illnesses including schizophrenia, bipolar disorder, and irritability associated with autistic disorder.

Ropinirole (Requip) is a dopamine agonist used in the treatment of Parkinson’s disease and Restless Legs Syndrome.

Recommendation

Healthcare Professionals are reminded to clearly print or spell out the medication name on prescriptions and make certain their patients know the name of their prescribed medication and their reason for taking it.

Assessment

For more information visit the FDA website at:

  • http://www.fda.gov/Safety/MedWatch/SafetyInformation 
  • http://www.fda.gov/Drugs/DrugSafety

Conclusion

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Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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Filed under: Alerts Sign-Up, Drugs and Pharma | Tagged: confusing drug labels, FDA, Risperidone, Ropinirole | Leave a comment »

Why do so many people refuse vaccinations for their kids?

Posted on August 14, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

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Why do so many people refuse vaccinations for their kids? The biggest reason is a false notion that there’s a link between vccinations and autism.

By not vaccinating their children, though, they open the doors to a wide range of diseases for their entire community.

 

Conclusion

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Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

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Filed under: Alerts Sign-Up, Experts Invited | Tagged: autism, vaccinations, vaccines | 4 Comments »

Which pop culture nurse will be helping you today?

Posted on August 12, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

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Many of us grow up with a role model-some person, real or fictional, that embodies the values we hold dear, and symbolizes the person we’d like to become.

Future basketball players have Michael Jordan. Future politicians have Barack Obama. Future crime fighters have Batman.

We nurses, however, have a smaller pool of heroes to choose from- but quantity does not mean quality, and the few that we have are stellar: from Florence Nightingale, the veritable nursing archetype that all nurses would eventually seek to emulate, to Gaylord Focker, a more modern but no less stalwart tribute to the perseverance and fortitude needed by any man or woman who enters the profession.

Nurses are only half of the equation, however. The patients we care for are the reason the nursing profession exists in the first place, and the people we’d ideally like to become are the same people our patients would ideally like to have caring for them at the hospital. Step into the shoes of a patient for a few minutes, and follow the flowchart to find out which pop culture nurse will be caring for you in your time of need.

Conclusion

And so, 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.

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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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Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.org

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Safe Online Banking Tips for Doctors

Posted on July 24, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

And …. Us All

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With 59% of us banking online and given the steady stream of news about security breaches exposing millions of account numbers and personal info, here’s an infographic on the importance of secure online banking.

According to the results of a 2011 JustAskGemalto.com poll, 48% of consumers do not know the steps their bank may or may not have taken to keep them secure while banking online. As online banking continues to become more widespread, more and more of us are potentially at risk for online attack. Brought to you by JustAskGemalto.com

Conclusion

And so, 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.

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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Filed under: Alerts Sign-Up, Funding Basics | Tagged: digital banking, online banking, retail banks | 1 Comment »

Finding the Cure for AIDS

Posted on July 7, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Infographics

[Courtesy Medical Billing and Coding]

[Courtesy http://www.MCOL.com]

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Since 1993, the average lifespan of a person infected with HIV (after their initial diagnosis) has tripled, largely thanks to treatments like the “cocktail.” However, with the cost of such drugs ranging from $10,000 to $15,000 per year for each person taking them, scientists are still on the hunt for a cure.

Assessment

Recent research may have uncovered a potential treatment that could cure HIV through stem cell research. Here, you will find out how this cure works along with other information on one of the most infamous STDs of all time.

***

aids***

AIDS-2

***

ImageProxy

[ID docs are among the worst paid specialists in the US. They train for several additional years, take difficult call schedules, but make less money than peers]

***

Conclusion

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DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
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FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors

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Filed under: Alerts Sign-Up | Tagged: AIDS, AIDS cure, HIV, Infographics, Medical Billing and Coding, STDs | 11 Comments »

On Charity When Disaster Strikes

Posted on June 13, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Charitable Giving Rules Outlined in IRS Publication 3833 

[By Children’s Home Society of Florida Foundation]

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Hurricane Katrina and other major storms strike the Gulf Coast leaving great devastation in their way. Tornados roar through Oklahoma, Missouri, Arkansas and the Deep South. An EF5 tornado has winds of 200 miles an hour and can destroy even steel buildings. A Level 5 hurricane wallops the coast with winds over 155 mph.

Earthquakes can strike throughout the West Coast and the heartland of the nation. Even with better building codes in the past decades, thousands of buildings may be destroyed and many left homeless.

Floods can often occur as part of the storm surge with a hurricane. There also have been major floods on the Mississippi and Missouri watershed areas.

All of these natural disasters happen with unfortunate frequency. While Mother Nature usually provides sunshine and rain in good measure, there are also devastating storms that leave thousands homeless, injured and even cause loss of life.

Charities Respond

One of the characteristics of a great nation is that there are millions of people with good hearts and a desire to help following a disaster. This help can be immediate, mid-term or even long-term.

Immediate assistance in the hours and days after a major natural disaster will frequently include basic needs. Meals and soup kitchens, shelters in public buildings, area housing facilities and emergency medical care are all needed. A wide range of charitable relief organizations are prepared to provide this level of immediate assistance.

Mid-term assistance is important because the rebuilding process can take months and even years. Organizations provide mid-term assistance with mobile housing, childcare so that parents can return to work and educational training. Following a major disaster, many individuals find that they must acquire new job skills and frequently will even change careers.

Long-term care may include counseling due to the trauma. In a major natural disaster, many victims have lost friends or family members in addition to the devastation wreaked on their property. It is essential that they have professional care that may last for an extended period.

Business Needs

Businesses may suffer from a complete devastation of an entire business district. They may need a concerted community-wide effort to rebuild the entire district. If there is not a cooperative program by government, charitable organizations and the private enterprises, the entire community could suffer serious deterioration.

Charitable organizations may help to restore communities, particularly where that assistance lessens the burdens of government in the rebuilding process.

Aid to businesses must meet two standards. First, it must accomplish a general public good charitable purpose. Second, the benefits to private individuals must be incidental to that goal of improving the business district for all citizens.

Charitable Class

In any disaster, a relief organization must determine who should receive help and the nature of that help. The definition of the potential group to receive help is called the “charitable class.”
This class must be sufficiently large that their assistance does benefit the public. It could be everyone in a particular city, county or state that has suffered a natural disaster.

If the group is employees of a specific entity, the program must be sufficiently open-ended and cover employees of future disasters. A program may not be designed to benefit a specific family or individual. However, so long as the program has a reasonably large charitable class and objective means of determining qualification for care, it may benefit specific persons or individuals.

Needy or Distressed Test

The determination of the need standard will reflect the nature of the assistance. For immediate assistance in the aftermath of a tornado, hurricane, earthquake, fire or flood, a relief organization may provide food or shelter to any individuals who appear to require assistance. The immediate nature of the disaster and the pressing need for immediate assistance justify greater latitude.

However, if the assistance is to be extended for two, three or six months, then there is time to make a specific determination of need. In that case, the charitable organization must create objective standards for deciding who are appropriate beneficiaries for relief assistance.

Types of Assistance

The types of assistance may be reasonably broad-based, provided there is an objective standard for determining qualified recipients.

For example, a surviving spouse whose husband or wife was lost in the natural disaster can receive “stay at home” assistance to care for minor children. The children may receive tuition and education assistance to attend an appropriate school. For those in need, they also could receive assistance with rent payments or vehicle operating costs so that they can have a home and provide for their family. In addition, travel costs to funerals for family members may be covered.

Documentation

All relief organizations must maintain sufficient records. The records must describe the general charitable purpose and methods and the manner in which the disaster victims are deemed qualified for assistance.

The records and documents will typically include the following.

1. Description of the assistance provided
2. Costs for providing that care
3. Charitable purpose for the aid given
4. Objective criteria for determining need
5. Manner for selecting the recipients
6. Name, address and amount distributed to recipients (except immediate relief)
7. Is the recipient related to an officer or director?
8. How is the selection committee determined?

An exception to the documentation requirement is for short-term emergency assistance. An organization may distribute blankets, meals and clothing on an immediate basis without requiring names of individuals. This is permitted so that organizations can minimize further illness or loss of life during the immediate recovery from a disaster.

Reporting to the IRS

Public charities are required to file IRS Form 990 or Form 990-EZ. For Form 990 or 990-EZ, the public charity will need to include a statement of disaster relief services. This should describe the general purpose, nature and structure of the disaster relief programs.

Public charities with gross receipts under $50,000 per year file Form 990-N (postcard). Private foundations file Form 990-PF. The private foundation also must include appropriate information about disaster relief activities. Private foundations must also exercise caution that they are not transferring benefits to disqualified parties in an impermissible fashion. Private foundations are subject to the Sec. 4941 Self-Dealing rules that limit benefits transferred to family members.

Employer Programs

Employers may develop programs to assist their employees who suffer personal hardship during a disaster. The employer programs are generally operated through a public charity, a donor advised fund or an employer private foundation.

The employer public charity qualifies because it receives broad support from the general public. Accordingly, its activities are subject to review by the public supporters. Nevertheless, these charities must also be cautious to be certain that there is a large or indefinite charitable class. Recipients should be based on an objective determination of need and selected by an independent committee.

Corporations may create donor advised funds with a community foundation or other public charity. A donor advised fund is normally prohibited from making individual grants and usually makes grants to Sec. 501(c)(3) organizations.

However, a donor advised fund of a corporation is permitted in limited circumstances to make individual grants. The requirements include the following:

1. Qualified Disaster – The federal government has indicated the particular natural disaster is qualified under federal guidelines.
2. Charitable Class – It is sufficiently large and potentially includes future disasters.
3. Objective Need – The recipients are selected in a neutral manner.
4. Independent Committee – An independent or objective committee is selected to be certain that the recipients are not based on any connection with the employer, but are generally in need.
5. No Director or Director Officer – No key person may benefit.
6. Adequate Records – The fund can show that beneficiaries were qualified.

The third category is an employer private foundation. The private foundation may make grants but must be cautious in making certain that the grants are appropriate.

The private foundation may make grants if a qualified disaster as defined in Sec. 139 of the code has been determined by the government. The class of beneficiaries must be large or indefinite and include potential future natural disaster victims. There must be an objective determination of need by an independent committee. No director or officer can benefit and there must be adequate records.

Natural Disaster

The federal government recognizes the enormous importance of the thousands of relief organizations throughout the nation. Following a hurricane, tornado, earthquake, flood or fire, these charities are frequently close behind police and fire responders. It is logical and appropriate that these charities should be able to provide immediate relief without burdensome guidelines.

However, as the relief project time lengthens, it becomes more and more important to have policies in place. Because there is always a limited amount of disaster assistance, it is the goal of all of these guidelines to be sure that the assistance benefits those who have the greatest need.
Generally, the rules are designed to be certain that there is a large class of beneficiaries. The determination of need must be on a neutral and objective basis. There should be specific criteria for matching those in need with the assistance provided. Finally, all disaster relief organizations are responsible for maintaining good records.

Assessment

The net result of these rules is to facilitate organizations that have both good hearts and good management capabilities. Almost everyone in the nation could at some time be in the midst of a great natural disaster. It is important that all relief organizations are prepared to provide assistance within the rules outlined in IRS Publication 3833. It this way, those in serious need receive the best possible benefit.

dumpster

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Filed under: Alerts Sign-Up, Estate Planning, Ethics | Tagged: Charitable Class, charitable giving, Children's Home Society of Florida Foundation, Hurricane Katrina and, When Disaster Strikes | 2 Comments »

Obesity in America

Posted on June 12, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

By Infographics

Courtesy Medical Billing and Coding

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Unfortunately, the link between sedentary lifestyles (particularly experienced by people that work in jobs requiring them to sit most of the day) and obesity is quickly becoming a big problem. Medical billers and coders may struggle with obesity during their careers with fast food lunches and tasks that are largely performed while sitting down.

Assessment

But what really causes obesity? Is “put down the fork” solid advice, or are there other underlying factors that need to be resolved before obesity can be conquered in the United States? Find out more about obesity in America here and discover some of the reasons we pack on extra pounds – and how to avoid them.

More info: http://mastersinhealthscience.com/2010/25-amazing-infographics-and-studies-showing-the-cost-of-obesity/

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Filed under: Alerts Sign-Up | Tagged: Infographics, Medical Billing and Coding, obesity | 7 Comments »

Harnessing the Power of Data to Improve Health Care [Podcast]

Posted on June 8, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Second Annual Health Data Forum

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On June 9th 2011, the Department of Health and Human Services [DHHS] and the Institute of Medicine [IOM] will hold a second health data forum that will bring together over 500 people in person to showcase how health data can create tools and applications to support more informed decision-making by consumers/patients, health care systems, and community officials.

Featured Speakers

  • Aneesh Chopra, US CTO
  • Tim O’Reilly, O’Reilly Media
  • Matt Miller, NPR
  • Harvey Fineberg, IOM President
  • Todd Park, HHS CTO, and many others.

Agenda:

http://iom.edu/~/media/Files/Activity%20Files/PublicHealth/HealthData/Health%20Data%20Initiative%20Forum%20Draft%20Agenda.pdf

Watch the Live Webcast: http://videocast.nih.gov/ or http://www.hhs.gov/live/

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Filed under: Alerts Sign-Up, Information Technology, Quality Initiatives, Videos | Tagged: Aneesh Chopra, Harvey Fineberg, Health Data Forum, HHS, IOM, Matt Miller, Tim O’Reilly, Todd Park | 2 Comments »

Dr. Marcinko Interviewed on Succession Planning for Physicians

Posted on May 11, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Physician Retirement Planning – in the news – too!

[Reprinted from Medical News, Inc.]

By Ann Miller RN MHA

[Executive-Director]

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Our ME-P Founder and Publisher-in-Chief, Dr. David Edward Marcinko FACFAS, MBA, CMP™, was recently interviewed by investigative reporter Sharon H. Fitzgerald of the Medical News magazine and newspaper for physicians. Here is a synopsis and copy of that article, along with the words of financial advisor Mr. Paul Larson, CFP™.

Physicians Have Unique Challenges and Opportunities

Physicians today “are getting squeezed from both ends” when it comes to their finances, according Mr. Larson, president of Larson Financial Group. On one end, collections and reimbursements are down; on the other end, taxes are up.

That’s why financial planning, including a far-sighted strategy for retirement, is a necessity.

CEO – Institute of Medical Business Advisors, Inc

Dr. Marcinko’s retirement investment advice – and it’s the same iMBA Inc advice he gives to anyone – is to invest first [fifteen] 15, and then [twenty] 20 percent [%], of your income in a world-wide indexed mutual fund for the next 50 [fifty] years, or so!

“We all want to make it more complicated than it is, don’t we?” he said.

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Assessment

Link: http://www.medicalnewsinc.com/retirement-and-succession-planning-cms-351

About Medical News

With a professional readership composed of physicians and key industry decision makers, the Medical News magazine and paper is the only local professional publication devoted entirely to healthcare issues that impact both clinical and administrative best practices. Monthly focus features on a variety of clinical and business topics allow the Medical News to zero in on medical advances, regulatory issues and innovative ways to enhance reader’s bottom line.

Channel Surfing the ME-P

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Filed under: Alerts Sign-Up, Interviews, Investing, Media Mentions and PR, Practice Management, Retirement and Benefits, Touring with Marcinko | Tagged: david marcinko, doctors financial planning, Medical News, Paul Larson, physician investing, physician succession planning, Sharon H. Fitzgerald | 5 Comments »

Baucus and Camp Talk Taxes

Posted on May 8, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

The May 16th Deadline Nears

By Children’s Home Society of Florida Foundation

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As the debt deadline of May 16th 2011 grows closer, Congress is debating both spending and taxes. Treasury Secretary Timothy Geithner indicates that there are various borrowing strategies that can be used to avoid an imminent default. However, he suggests that Treasury may be facing an actual default on U.S. Bond obligations by August 2nd if there is not an extension of the $14.29 trillion debt limit.

Baucus Speaks

With the impending debt limit, the intensity of discussions on both spending and taxes has increased. Sen. Max Baucus (D-MT) is the Chair of the Senate Finance Committee. Rep. Dave Camp (R-MI) is the Chair of the House Ways and Means Committee.

Sen. Baucus recently discussed the potential tax changes or triggers that could be implemented in a debt reduction agreement. He noted that President Obama has proposed a system called the “Debt Failsafe Trigger.” This plan places a top limit on debt as a percent of gross domestic product (GDP).

Another option suggested by Sen. Baucus would be a “contingency tax.” He noted that in the 1984 budget proposal by President Ronald Reagan, if spending caps were exceeded there was a proposed 1% tax surcharge on individuals and corporations and an increase of $5 per barrel in the tax on oil. However, Sen. Baucus also notes that there are risks with tax triggers. He stated, “We must insure that any trigger we consider would not worsen our economy and leave people out in the cold when they need help the most.” It would be risky to create a tax trigger that might “deepen the economic decline” during a downturn of the economy.

Gramm Speaks

At a hearing before the Senate Finance Committee on May 4, former Senator Phil Gramm discussed the potential for creating spending and tax triggers as part of a deficit agreement. Sen. Gramm joined together with two other senators to pass the “Balanced Budget and Emergency Deficit Control Act of 1985.” This act created specific spending cuts if certain targets were not reached. With the budget discipline of the spending cuts, the increase in federal spending declined from 4.7% in 1986 to 1.4% in 1987. Over a period of four years, the deficit was cut approximately in half as a result of the bill.

Assessment

Chairman Dave Camp expressed concern about tax triggers. He indicated that his preference is to focus on the current spending level of 25% of GDP and hopefully reduce that amount to the historic average of 20% of GDP. Rep. Chairman Camp stated, “I think where we need to rebuild credibility with the American people is on the spending side. Until we do that, I’m not interested in talking about higher tax revenues.”

Editor’s Note: As the May and August deadlines near, there will be sharp debate on both spending cuts and tax increases. Should the deficit solution be primarily spending cuts or should there be substantial tax increases? The discussion in Washington will continue.

Conclusion

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Filed under: Alerts Sign-Up, Taxation | Tagged: Baucus, Chair of the House Ways and Means Committee, Children's Home Society of Florida Foundation, David Camp, Debt Failsafe Trigger, Phil Gramm, taxes, Timothy Geithner, US debt ceiling deadline | 1 Comment »

Organizational Innovation to Improve the Efficiency of Health Care Markets

Posted on May 2, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Where are the Health Care Entrepreneurs?

By Staff Reporters

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The high and rapidly rising cost of health care in the U.S. remains a critical issue. High costs burden the federal budget due to the government’s large role in providing health care through the Medicare and Medicaid pro-grams, which jointly make up 40 percent of the total U.S. health care market. High costs also make it difficult for individuals to afford health insurance.

Efficient Benefits

High costs are less of a cause of concern if health care is provided efficiently and generates benefits that exceed its costs. Unfortunately, numerous studies suggest that one-third or more of medical resources is not buying improved health. This translates into over $700 Billion of excess spending in the U.S. each year.

Working Paper

The following paper: Where are the Health Care Entrepreneurs? The Failure of Organizational Innovation in Health Care appeared in the NNBER as Working Paper No.16030].

Assessment

In this paper, researcher David Cutler explores the causes of this inefficiency and the reasons why it has not been eliminated by market forces.

Link: http://papers.nber.org/papers/w16030

Conclusion

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Filed under: Alerts Sign-Up, Funding Basics, Health Law & Policy | Tagged: David Cutler, Health Care Entrepreneurs, healthcare costs, healthcare efficiency, NNBER | 2 Comments »

About the ISMP

Posted on April 30, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Institute for Safe Medication Practices

By Staff Reporters

The Institute for Safe Medication Practices (ISMP), based in suburban Philadelphia, is the nation’s only 501c (3) nonprofit organization devoted entirely to medication error prevention and safe medication use. ISMP represents over 30 years of experience in helping healthcare practitioners keep patients safe, and continues to lead efforts to improve the medication use process. The organization is known and respected worldwide as the premier resource for impartial, timely, and accurate medication safety information.

History

The Institute has a long history of achievements. Its medication error prevention efforts began in 1975 with a groundbreaking and continuing column in Hospital Pharmacy that increases understanding and educates healthcare professionals and others about medication error prevention. In 2004, the Institute celebrated the tenth anniversary of its official incorporation as a nonprofit organization.

Update

Today, a continuously expanding core of knowledge in medication safety fuels the Institute’s highly effective initiatives to improve the medication use process. These initiatives, which are built upon a non-punitive approach and system-based solutions, fall into five key areas: knowledge, analysis, education, cooperation, and communication.

Assessment

200 Lakeside Drive; Suite 200
Horsham, PA 19044-2321
Phone: 215-947-7797
Fax: 215-914-1492

www.ISPM.org

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Filed under: Alerts Sign-Up, Drugs and Pharma, Quality Initiatives | Tagged: Hospital Pharmacy, Institute for Safe Medication Practices | 2 Comments »

Seeking Director to Lead MHS Research Institute

Posted on April 24, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Award Winning MultiCare Health System Employment Opportunity

By Maureen Jamieson / Pam Kinsella

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Dear Dr. Marcinko, 

MultiCare Health System (MHS), in Tacoma, Washington, near Seattle, is seeking a Director to lead the MHS Research Institute. This centralized Institute focuses on applied clinical research and will build upon the success of the MHS Research Department, which currently boasts over 85 physician investigators and 100+ studies in progress with protocols having doubled in the past six months.

Electronically Connected

The Director will have a full complement of research staff, access to 94 sites of patient care, ranging from primary care and specialty practices to community, children’s and tertiary care hospitals; and EPIC electronic medical records to easily access patient information across sites.

Assessment

We welcome your interest or nominations for this Director role: 314-236-4463 and 314-726-0026 [Fax].
jamieson.kinsella@cejkasearch.com E-mail
http://www.cejkasearch.com website

Email #: MJPKS-139685ADM

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Introducing our Two Newest Sponsors

Posted on April 19, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

JRS Medical and the DME Supply Group

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JRS Medical, Inc

Your online source for over 20,000 discounted medical supplies from over 350 manufacturers.

Just Real Simple!  We understand that you’re life is probably hectic and buying our products isn’t one of your favorite things to do, so we want to provide the easiest possible way for you to get your medical supplies at the lowest possible price.

Our goal is to conveniently provide our customers with a large selection of quality medical supplies at a discounted price.  We want you to have the most positive online shopping experience. No games, just good service, quick shipping, fair prices, and no hassles. Your questions will be promptly answered by an experienced and knowledgeable staff with a touch of Southern hospitality.

JRS Medical, Inc. is a licensed Pharmacy distributor.  By having this Pharmacy License, JRS Medical is allowed to sell products that other medical sites are not permitted to offer or sale.  Basically, we provide a larger amount of products for our customers to choose from.

JRS Medical, Inc. is also a Tricare provider.

DME Supply Group

At the DME Supply Group we are basically a bunch of computer geeks.  We got started in the Internet business by selling computer hardware and software.  With a little bit of luck, we were able to develop some very strong relationships with the top manufacturers in the medical supply business.  So with our knowledge of e-commerce, and access to some of the best distributors of durable medical equipment and supplies in the business, we were able to create a new business model for the sale of high quality, low cost professional and end-user diagnostic equipment and healthcare supplies. 

We must confess, we have had a wonderful time growing this business because we feel that we are helping our customers out in their time of need. By developing powerful one-on-one relationships with some the best providers of medical supplies and equipment working today, we know that we will keep finding new and better ways to help our customers, whether they are doctors, professional nurses, hospice or home healthcare administrators, or just individuals taking care of a loved one at home.

Even if you’re just someone who happens to need a bottle of aspirin and a roll of gauze, we’re working day and night to make it easier and cheaper to get you what you need, when you need it.

Our goal is to conveniently provide our customers with a large selection of quality medical supplies at a discounted price. We want you to have the most positive online shopping experience. No games, just good service, quick shipping, fair prices, and no hassles.

 

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Filed under: Alerts Sign-Up, Marketing & Advertising | Tagged: DME Supply Group, JRS Medical Inc. | Leave a comment »

WordPress.com Data Breached

Posted on April 15, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Millions of Web Sites at Risk

By Staff Reporters

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Founder and software developer Matt Mullenweg says sensitive information likely taken.

Data Breach

WordPress.com, which hosts millions of blogs using the popular WordPress blogging software, announced yesterday that its servers had been breached and that sensitive data was likely taken.

Assessment

Millions of websites use WordPress software without being connected to WordPress.com.

Link: http://www.msnbc.msn.com/id/42596373/ns/technology_and_science-security/?GT1=43001

Conclusion

And so, 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.

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

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Sponsors Welcomed: And, credible sponsors and like-minded advertisers are always welcomed.

Link: https://healthcarefinancials.wordpress.com/2007/11/11/advertise

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Proposed Federal Regulations for ACOs

Posted on April 14, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Comment Period Still Open

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By Garfunkel * Wild PC

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As ME-P readers may know, the much anticipated proposed federal regulations on accountable care organizations (ACOs) were published on March 31, 2011.

The ACA

Under the Affordable Care Act, ACOs were created for the purpose of delivering seamless, high quality care to traditional fee-for-service Medicare beneficiaries while reducing the cost of care to those beneficiaries.  If successful, ACOs would receive a portion of the shared savings.  The proposed regulations detail how these ACOs will work.

Work Group

The Garfunkel Wild ACO workgroup is analyzing these proposed regulations, and shortly we will provide a review with pragmatic points to consider.

In sum, all ACOs that wish to participate in Medicare Shared Savings Program will enter into 3-year agreements with the Department of Health and Human Services, but CMS is proposing a two track approach.  Those ACOS that opt for the first track will have the opportunity to share in actual savings at no risk for the first two years.  In year three, the ACO will have the ability to receive additional savings but also will be at financial risk if certain benchmarks are not met.  ACOs that elect the second track have the same ability to share in savings but are financially at risk from day one.

CMS and OIG Regulations

Also published with the proposed CMS regulations are proposed regulations from the Office of Inspector General that address the waiver of the application to ACOs of federal fraud and abuse laws; a solicitation for comments from the Internal Revenue Service regarding the need for tax guidance for tax-exempt organizations, and perhaps the most important, a statement from the Federal Trade Commission and Department of Justice that proposes a safety zone that will protect from antitrust enforcement ACOs and other “collaborative care organizations” that serve patients with commercial insurance, not just Medicare beneficiaries.

Assessment

There are a lot of moving parts, and nothing yet is final.  The comment period on these proposed regulations ends June 6, 2011.

Link: http://www.garfunkelwild.com

Channel Surfing the ME-P

Have you visited our other topic channels? Established to facilitate idea exchange and link our community together, the value of these topics is dependent upon your input. Please take a minute to visit. And, to prevent that annoying spam, we ask that you register. It is fast, free and secure.

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

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

  • PRACTICES: www.BusinessofMedicalPractice.com
  • HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
  • CLINICS: http://www.crcpress.com/product/isbn/9781439879900
  • ADVISORS: www.CertifiedMedicalPlanner.org
  • FINANCE: Financial Planning for Physicians and Advisors
  • INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
  • Dictionary of Health Economics and Finance
  • Dictionary of Health Information Technology and Security
  • Dictionary of Health Insurance and Managed Care

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Filed under: "Doctors Only", Alerts Sign-Up, Health Law & Policy, Practice Management | Tagged: ACO, ACO Federal Regulations, Affordable Care Act., CMS, DHHS, FTC, Garfunkel Wild, IRS, OIG | 10 Comments »

Join the ME-P “Conference Online”

Posted on April 9, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

ME-P Network Membership is Free

By Staff Reporters

The Medical Executive-Post is like a healthcare finance, economics and administration “Conference Online” for medical professionals and their financial advisors and management consultants.

Just as with a traditional conference, by joining our network of like minded ME-P followers you will have access to the following from our more than fifty [50] topical channels:

  • An “Exhibit Hall” — our blog forum filled with product and service providers that cater to members
  • “Breakout Sessions” in the form of posts, podcasts and comment by experts in our industry
  • Articles written by some of the best and brightest
  • A “Bookstore” containing books written by and for professionals
  • A daily blast that provides us a way to “Network” with each other to share ideas, best practices, or ask what others are doing.
  • And, last but not least, coaching, seminar services or speaking engagements.

Assessment

Join Our Mailing List 

Conclusion

And so, your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

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Sponsors Welcomed: And, credible sponsors and like-minded advertisers are always welcomed.

Link: https://healthcarefinancials.wordpress.com/2007/11/11/advertise

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Events Planner: April 2011

Posted on April 1, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

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Events-Planner: APRIL 2011

By Staff Writers

“Keeping track of important health economics and financial industry meetings, conferences and summits”

Welcome to this issue of the Medical Executive-Post and our Events-Planner. It contains the latest information on conferences, news, and relevant resources in healthcare finance, economics, research and development, business management, pharmaceutical pricing, and physician/entity reimbursement!  Watch for a new Events-Planner each month.

First, a little about us! The Medical Executive-Post is still a relative newcomer. But today, we have almost 175,000 visitors and readers each month from all over the country, in addition to our growing subscriber base. We have been a successful collaborative effort, thanks to your contributions.  As a result, we are adding new resources daily. And, we hope the website continues to provide the best place to go for journals, books, conferences, educational resources, tools, and other things you need to establish the value your healthcare consulting and financial advisory intervention.

So, enjoy the Medical Executive-Post and this monthly Events-Planner with our compliments. 

A Look Ahead this Month – And now, the important dates:

  • April 10: AHA Annual Membership Meeting, Washington, DC
  • April 27: Perfecting ED Operations, Boston, MA

Please send in your meetings and dates for listing in the next issue of our Events-Planner.

MarcinkoAdvisors@msn.com

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com 

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest E-Ps delivered to your email box each morning? Just subscribe using the link below. It’s free. You can unsubscribe at any time. Security is assured.

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Events Planner: February 2011

Posted on February 1, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

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Events-Planner: FEBRUARY 2011

By Staff Writers

“Keeping track of important health economics and financial industry meetings, conferences and summits”

Welcome to this issue of the Medical Executive-Post and our Events-Planner. It contains the latest information on conferences, news, and relevant resources in healthcare finance, economics, research and development, business management, pharmaceutical pricing, and physician/entity reimbursement!  Watch for a new Events-Planner each month.

First, a little about us! The Medical Executive-Post is still a relative newcomer. But today, we have almost 175,000 visitors and readers each month from all over the country, in addition to our growing subscriber base. We have been a successful collaborative effort, thanks to your contributions.  As a result, we are adding new resources daily. And, we hope the website continues to provide the best place to go for journals, books, conferences, educational resources, tools, and other things you need to establish the value your healthcare consulting and financial advisory intervention.

So, enjoy the Medical Executive-Post and this monthly Events-Planner with our compliments. 

A Look Ahead this Month – And now, the important dates:

  • February 06-08: Inside ETFs Conference, Hollywood, FLA.
  • February 10-12: Institute for Divorce Financial Analysts. Tampa, FLA
  • February 14-16: NY Association Health Underwriters, Washington DC.
  • February 20-24: HIMSS Annual Conference, Orlando, FL.

Please send in your meetings and dates for listing in the next issue of our Events-Planner.

MarcinkoAdvisors@msn.com

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com 

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest E-Ps delivered to your email box each morning? Just subscribe using the link below. It’s free. You can unsubscribe at any time. Security is assured.

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Global Survey Results for m-Health Apps

Posted on January 27, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

220 Million Diabetes Patients are Main Target for Developers in 5 Years

By Markus Pohl

[A research2guidance Press Release]

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The majority of today’s mHealth smartphone applications fall into the category of general health tracking and fitness tools. Generally these apps have a low to medium sophistication level. Chronically ill people have not yet been the focus of today’s app developers. This will change with the entrance of traditional health industry players into the mHealth app market.

WHO Numbers

With the potential for sophisticated monitoring, compliance, time-management and a host of other applications to improve healthcare delivery to chronically ill patients, mHealth solutions promise to bring significant advances in the management of chronic diseases. In addition the target group size is very impressive. According to the OECD and WHO there are more than 2 billion patients with chronic diseases worldwide.

Chronic Diseases

Chronic disease is a major cost-driver in developed countries. In the US the cost of treating chronic disease constitutes is 83% of total Medicaid and 96% of the total Medicare expenditure (Source: Centers for Disease Control and Prevention).

In some countries healthcare expenditure on a person with one chronic condition is double that of expenditure on someone without a chronic condition.

From the data above, we can see why established healthcare players are bringing out first pilot apps.

And, the graph illustrates market potential for mobile applications, specific for chronic diseases and the size of the overall addressable market for patients with chronic diseases today.

Assessment

Among chronic diseases diabetes is ranked highest in terms of business potential for mHealth applications according to a global survey on mHealth. And, there is supporting evidence that diabetes applications will become as popular as envisaged by the developers: target group size is growing, huge costs saving potential, geographical match, excellent use case potential, etc.

For a more detailed analysis on the mHealth market please have a look at the “Mobile Health Market Report 2010-2015”

Contact Info: research2guidance

+49 30 609 893 363

mp@research2guidance.com

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
BLOG: www.MedicalExecutivePost.com
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors

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Filed under: Alerts Sign-Up, Information Technology | Tagged: m-Health, m-Health Apps | 3 Comments »

The eHR Incentives Registration Schedule

Posted on January 20, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

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Begins January 31st 2011

By Garfunkel Wild, P.C

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Registration for the Medicare EHR incentive program began on January 3, 2011.  Eligible hospitals and professionals (collectively referred to as “Eligible Providers”) interested in receiving EHR incentive payments must register.

The HITECT Act

As a reminder, under the HITECH Act, Medicare and Medicaid incentive payments will be available to eligible professionals and hospitals when they adopt certified EHR technology and successfully demonstrate “meaningful use” of the technology.

Hospitals that are eligible for both the Medicare and Medicaid EHR incentive programs can receive payments from both Medicare and Medicaid; however, individual professionals cannot participate in both programs.  Eligible Providers seeking to participate in the Medicaid programs must initiate registration at CMS’ registration site but must complete the process through an eligibility verification site maintained by their state Medicaid agency.  At this time New York  has not yet started the registration process.

The CMS Schedule

CMS announced the following key dates for the Medicare incentive programs’ first year:

###

January 3, 2011: Registration for the Medicare EHR incentive program begins.
April 2011: Attestation for the Medicare EHR incentive program begins.
May 2011: Issuing of Medicare EHR incentive payments expected to begin.
July 3, 2011: Last day for eligible hospitals to begin their 90-day reporting period to demonstrate meaningful use for the Medicare EHR incentive program for federal FY 2011.
September 30, 2011: Federal FY 2011 payment year ends at midnight for eligible hospitals and CAHs.
October 3, 2011: Last day for eligible professionals to begin their 90-day reporting period for calendar year 2011 to demonstrate meaningful use for the Medicare EHR incentive program.
November 30, 2011: Last day for eligible hospitals and CAHs to register and attest to receive an incentive payment for federal fiscal year 2011.
December 31, 2011: Calendar 2011 payment year ends for eligible professionals.

Assessment

Interested providers may familiarize themselves with the incentive programs’ requirements by visiting CMS’ Official Web Site for more on the Medicare and Medicaid EHR Incentive program. The site provides general and detailed information on the programs, including tabs on the path to payment, eligibility, meaningful use, certified EHR technology, and frequently asked questions.

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

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

  • DICTIONARIES: http://www.springerpub.com/Search/marcinko
  • PHYSICIANS: www.MedicalBusinessAdvisors.com
  • PRACTICES: www.BusinessofMedicalPractice.com
  • HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
  • CLINICS: http://www.crcpress.com/product/isbn/9781439879900
  • ADVISORS: www.CertifiedMedicalPlanner.org
  • BLOG: www.MedicalExecutivePost.com
  • FINANCE:Financial Planning for Physicians and Advisors
  • INSURANCE:Risk Management and Insurance Strategies for Physicians and Advisors

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Filed under: Alerts Sign-Up, Breaking News, Information Technology, Practice Management | Tagged: CMS, EHR incentive program, EHRs, EMRs, meaningful use | 4 Comments »

Understanding Low Cost versus High Cost Health Insurance Plan Decisions

Posted on December 23, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

December 2010 – Health Plan Management Navigator

[By Marco Georeno]

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Dear ME-P Readers and Subscribers

Please find attached the December 2010 edition of Plan Management Navigator.

In this Issue

In this month’s edition, we look at how the decisions made by low costs plans differ from those made by higher cost ones. This analysis examines the differences for the Independent / Provider-Sponsored plans that participated in the Sherlock Expense Evaluation Report (SEER) in 2010. Navigator also discusses the latest Health Plan Dashboard results for the three months ended October 31, 2010.

Link: Navigator Early December 2010[1]

New for 2011 

In addition, Sherlock Company is currently forming new universes for the 2011 Sherlock Expense Evaluation Report. If your plan would like to consider participation, we invite you to give us a call at 215-628-2289 or email us at sherlock@sherlockco.com

We will launch the surveys beginning in March 2011 to reflect 2010 calendar year results.

Assessment

Sherlock Company

mgeoreno@sherlockco.com

Ph:  215-628-2289

Fax: 215-542-0690

Channel Surfing the ME-P

Have you visited our other topic channels? Established to facilitate idea exchange and link our community together, the value of these topics is dependent upon your input. Please take a minute to visit. And, to prevent that annoying spam, we ask that you register. It is fast, free and secure.

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

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

  • PRACTICES: www.BusinessofMedicalPractice.com
  • HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
  • CLINICS: http://www.crcpress.com/product/isbn/9781439879900
  • ADVISORS: www.CertifiedMedicalPlanner.org
  • FINANCE: Financial Planning for Physicians and Advisors
  • INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
  • Dictionary of Health Economics and Finance
  • Dictionary of Health Information Technology and Security
  • Dictionary of Health Insurance and Managed Care

 

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On the Disposal of Pharmaceuticals and Controlled Substances

Posted on December 4, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

A Legal Dilemma for the Healthcare Industry

By Suzanne M. Avena

Garfunkel Wild PC

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Healthcare facilities, including Nursing Homes and Long Term Care Facilities (LTCFs) are currently facing confusion regarding the legal requirements for the disposal of pharmaceuticals, especially controlled substances, in light of recent related enforcement actions.  The following ME-P alert is a synopsis of current Federal and New York State laws and regulations regarding this issue. It also incorporates the context of recent letters and discussions with representatives from the Federal Drug Enforcement Agency (DEA), the New York State (NYS) Office of the Attorney General (OAG), the NYS Department of Environmental Conservation (DEC) and NYS Department of Health (DOH) Bureau of Narcotics Enforcement (BNE).

OAG

Over the last year, the OAG ordered several hospitals and nursing homes in the NYS upstate watershed area to stop “flushing” pharmaceuticals, including controlled substances, down drains.  The impetus for these actions was the discovery of new science indicating that pharmaceuticals may be getting into drinking water.  However, such actions, in part, tried to effect policy change beyond current law.  Further prosecution has since waned, while the OAG engages in dialogue with environmental and drug enforcement agencies to determine a policy consensus that both benefits the environment and avoids drug diversion within the constraints of current regulations.

DOH Estimates

DOH estimates that about 5% of pharmaceutical waste stream is regulated as a hazardous waste and about 5% may also be regulated as a controlled substance.  However, the regulatory structures for managing these wastes may be different, as each waste category has specific regulations and procedures that apply to its management and disposal.

What is the Current Law Governing Disposal of Pharmaceuticals?

The current law is that, hazardous waste, including hazardous pharmaceuticals and controlled substances must be disposed of by licensed haulers under a hazardous waste manifest, as required under the Federal Resource Conservation and Recovery Act (RCRA) and NYS Environmental Conservation Law (ECL) analogs. However, flushing non-hazardous pharmaceuticals, including non-hazardous (most) prescription medications is and has been a legally acceptable practice for many years, in part from concern against drug diversion.  Although the EPA recently proposed that facilities not dispose of pharmaceuticals down the drain as a best management practice, this procedure does still comport with Federal and State environmental laws as well as the Federal Controlled Substance Act (CSA) administered by the DEA and State drug management regulations administered by the BNE.

As long as there are no additional local sewer ordinances prohibiting discharges or specific legal Orders against the facility to the contrary, hospitals and nursing homes can dilute waste pharmaceutical and controlled substances and then flush them down the drain.  Prior to disposal, for security, any controlled substance waste must be stored in double-locked narcotics cabinets affixed to the wall.  The identity, quantity and means of disposal of each controlled substance to be disposed is submitted for approval to the DOH on Forms DOH-2340 (Request for Approval of On-Site Destruction for Controlled Substances) and DOH-166 (Controlled Substances Inventory Form).  Upon receipt of approval by DOH of the requested method of disposal (i.e., flushing, incineration or other), the destruction of the drug must take place with appropriate supervision and witnessing, usually in the presence of two NYS licensed nurses.

Long Term Care Facilities Have Special Issues

Because of the “closed system” of distribution of controlled substances prescribed under the CSA  to prevent diversion of narcotics, prescription drugs may be transferred only between persons or entities who are DEA Registrants or who are exempted from the requirement of registration. LTCFs across the State which do not have pharmacies on site are not “Federal DEA Registrant” facilities or “NYSDOH Class 3 Institutional Dispensers”.  Because LTCFs merely take possession of narcotics to safeguard and administer to patients, they are holders of only a NYSDOH Class 3A license as an “Institutional Dispenser Limited” of controlled substances.  Thus, LTCFs are more limited with regard to legally permitted disposal methods.  For example, whereas fully-licensed Class 3 facilities can send unused pharmaceuticals, including unused controlled substances for credit to a DEA Registered reverse distributor or pharmaceutical manufacturer for credit, Class 3A facilities not licensed as pharmacies cannot.  If the patient is transferred to another facility or otherwise leaves, the pharmaceuticals must go with them.  If the patient dies, or the narcotics no longer work or expire, the LTCF may be left with excess controlled substances that must be disposed of to avoid diversion. That is why LTCF’s are especially concerned about the possibility of not being able to flush unused patient pharmaceuticals.

What Will be the New Paradigm for Disposal of Pharmaceuticals?

The good news is that the BNE — and now the OAG and DEC — recognize this as a priority issue and, as previously mentioned, have been working jointly to achieve policy consensus on the matter.  In August 2010, the BNE released a controlled substance disposal/destruction guidance letter.  It provides Class 3A facilities wider latitude regarding disposal methods for controlled substances, while minimizing drug diversion.  Although the BNE guidance specifically includes flushing, other methods of disposal/destruction suggested by BNE include incineration at DEC-permitted solid waste incinerators (for non-hazardous controlled substances), surrender of controlled substances to local law enforcement, or collection at pharmaceutical take-back events sponsored by communities and/or the DEC.  Again, all options for the disposal/destruction of controlled substances are subject to BNE approval and the other applicable requirements.

In June 2010, DEC also issued a letter to affected facilities/programs to provide guidance on its regulations applicable to the management of pharmaceutical waste.

Take Back Programs

To address the current legal obstacles that prevent patients and LTCFs who are not DEA Registrants from utilizing reverse distributors and drug return policies, the President just signed on October 12, 2010 the Secure and Responsible Drug Disposal Act.  This Act amends the CSA to allow individuals to dispose of unwanted controlled substances in their household to appropriate entities through community Take Back programs in accordance with parameters to be set by the US Attorney General.  Also, under the new law, LTCFs may dispose of controlled substances on behalf of ultimate users who reside or resided at the LTCF in accordance with regulations to be promulgated by the U.S. Attorney General “that will provide effective controls against diversion and be consistent with public health and safety.”

Pharmaceutical Wastes as Universal Wastes

The EPA has proposed an amendment to the Universal Waste Rule which would add hazardous pharmaceutical wastes to the Federal Universal Waste program by April 2011.  The Universal Waste program is essentially a streamlined management program for certain hazardous wastes designed in part to ease the burden of managing wastes and promote collection and recycling of commonly generated wastes.  Adding pharmaceuticals to the Universal Waste category would result in definitive Federal regulations governing their disposal.  However, states are permitted to enforce regulations that are more stringent than the Federal Universal Waste regulations, and there is no guarantee that New York would accept the more lenient practice of including waste pharmaceuticals as Universal Waste.

Class 3A Facilities Priority

As mentioned, disposal of controlled substances at the Class 3A facilities are receiving top priority right now by regulators.  However, next on the horizon is for the agencies to establish consensus as to more environmentally-sustainable alternatives to flushing for Class 3 facilities.  For example, BNE is considering allowing Class 3 facilities to mix waste controlled substances with chemical wastes or absorbents such as DAWG® or “kitty litter”, but only if the BNE deems that the alternative practice renders a controlled substance completely “unrecoverable” or “beyond reclamation.”  This may still run a risk with the DEA, however, which does not recognize a definition of rendering a drug “non-recoverable” or “irretrievable.”  DEA says that the CSA and its implementing regulations do not reference the general form, state of concentration (with specific exceptions) of any material, compound, mixture, or preparation that contains any quantity of a controlled substance.

Assessment

According to the DEA, mixing controlled substances with chemicals, absorbent materials, or other undesirable substances does not invalidate its status as a controlled substance, nor may the controlled substance be considered “destroyed” at that point.  Lastly, disposal vendors may not thereafter pick up the mixed controlled substance waste, either because either they are not DEA-licensed to do so – or because of concern that the method used may not have rendered the substance totally “unrecoverable” and they will be liable.

Since this area of the law is developing rapidly.  Healthcare colleagues are urged to consult with legal counsel to keep pace with changing future requirements.

Notes:

[i]There are mainly three hazardous controlled substances – chlorohydrate, paraldehyde and phenteramine, which are used in deodorants, to treat convulsive disorders and to suppress appetite, respectively.

[ii]42 U.S.C.A. §§6901 et seq.

[iii] New York State Environmental Conservation Law Article 27, Title 9; NYCRR Part 370.

[iv] Best Management Practices for Unused Pharmaceuticals at Health Care Facilities Fact Sheet, http://water.epa.gov/scitech/wastetech/guide/unusedpharms_factsheet.cfm

[v] NYCRR Part 80 (Rules and Regulations on Controlled Substances in New York State) sets forth requirements for the disposal/destruction of controlled substances by those entities registered by the federal Drug Enforcement Administration (DEA), as well as those licensed by DOH.  10 NYCRR Section 80.51 requires that DOH’s Bureau of Narcotic Enforcement (BNE) approve the manner and detail of all such disposal/destruction pursuant to a written requests.  In destroying controlled substances they must be rendered totally unrecoverable and beyond reclamation.

[vi] Drain discharge of 15 kg (approximately 33 pounds) or greater of U-listed (chemotherapeutic) or characteristic hazardous waste in a calendar month, or any amount of P-listed (acutely hazardous) waste requires notification to the local publicly owned treatment works, the DEC Director of the Division of Solid and Hazardous Materials and USEPA’s Region 2 Director of the Division of Environmental Planning and Protection.  In the case of P-listed waste, notification must include a certification that a program is in place to reduce the volume and toxicity of hazardous waste generated to a degree determined to be economically practicable. 

[vii] http://www.health.state.ny.us/forms/doh-2340.pdf; http://www.health.state.ny.us/forms/doh-166.pdf; http://www.health.state.ny.us/forms/instructions/doh-2340_instructions.pdf

[viii] August 2010 NYSDOH Guidance Letter from Commissioner Richard F. Daines, M.D. to Class 3A Institutional Dispenser Limited Administrators.

[ix] 10 NYCRR Part 80.

[x] Public Law 111-273  – Secure and Responsible Drug Disposal Act of 2010 – Signed October 12, 2010.

[xi] See, Federal Register, Dec. 2, 2008, Volume 73, Number 232.

Conclusion

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What if Your ME-P Comment Doesn’t Appear?

Posted on November 25, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

The Decision to Delete or Spam

By Staff Writers

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We very rarely delete comments but some get shunted to spam; in fact, far more than we can examine (hundreds a month, really). If your comment is legitimate, it might still get caught by the spam filter if it: (a) has a lot of hyperlinks, (b) uses some words you shouldn’t be using (four letters, etc.), (c) reasons we cannot fathom and we do think this is rare. But, we’ve seen some comments and e-mail that suggest it has happened.

Assessment

Our recommendation is that you repost your thoughts in another way. Leave out the URLs or foul words or something. To be very safe, you can write your comment in a word processing program and then paste it to the ME-P blog. Or, you can copy it (control-c) before submitting. That way you’ve got a copy, just in case.

Conclusion

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About the e-Financial Consultants of iMBA Inc

Posted on November 16, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

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The ME-P Job Board

Posted on November 7, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

Seeking Editorial Intern

By Ann Miller RN, MHA

MarcinkoAdvisors@msn.com

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The ME-P is looking for talented interns to assist with editorial, research and web production tasks as our web site undergoes a major expansion. The position is perfect for a graduate, business or medical school student with an interest in journalism, public policy, and/or the business of health care.  You may work out of your home office remotely. Production and research opportunities may also be available in our Norcross, GA office for qualified candidates.

Editorial Candidates

Editorial candidates should have an in depth familiarity with at least one area of the healthcare, financial advisory, medical management and/or technology industries with strong writing and editing skills.  Web production candidates should know their way around content management systems like our current platform; WordPress.  Basic photoshop / fireworks / gimp or comparable image editing software required.

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Send us an email telling us a little bit about yourself and detailing the reasons you’re interested in the position. If you’re a candidate for the editorial role send us a few clips to give us a feel for your writing style.

E-mail all responses to Ann Miller, the ME-P Executive-Director. No phone calls, please!

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New Third Party Healthcare Administrator Benchmarks Available

Posted on October 19, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

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Benchmark Supplement Licenses Now Available

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By Douglas B. Sherlock, CFA

Managing healthcare insurance and related administrative expenses is especially important for health benefit organizations this year. Health care reform has magnified its importance: the new medical loss ratio regulations are expected to be voted on by the NAIC within a week and approved by HHS soon after the November elections.

The Economy Weakens

In addition, the economy continues to be weak, and if costs are not managed wisely, enrollment declines can have a leveraged impact on earnings. Finally, Medicaid plans are squeezed by tight state budgets, higher enrollment and the prospect of 16 million additional members under health care reform.

We offer the benchmarks you need to help you make sure your administrative cuts don’t harm your long term competitive position. Nearly 60 health plans and TPAs participate in various benchmarking universes, and health plans serving most insured Americans used the most recent editions of our benchmarks. Sherlock administrative expense benchmarks are the “gold standard” for the operational and cost information that you need.

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Assessment

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Conclusion

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