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The “Medical Executive-Post” is about connecting doctors, health care executives and modern consulting advisors. It’s about free-enterprise, business, practice, policy, personal financial planning and wealth building capitalism. We have an attitude that’s independent, outspoken, intelligent and so Next-Gen; often edgy, usually controversial. And, our consultants “got fly”, just like U. Read it! Write it! Post it! “Medical Executive-Post”. Call or email us for your FREE advertising and sales consultation TODAY [678.779.8597] Email: MarcinkoAdvisors@outlook.com
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THE ME-P DISCLAIMER: Posts, comments and opinions do not necessarily represent iMBA, Inc., but become our property after submission. Copyright © 2006 to-date. iMBA, Inc allows colleges, universities, medical and financial professionals and related clinics, hospitals and non-profit healthcare organizations to distribute our proprietary essays, photos, videos, audios and other documents; etc. However, please review copyright and usage information for each individual asset before submission to us, and/or placement on your publication or web site. Attestation references, citations and/or back-links are required. All other assets are property of the individual copyright holder.
HOLACRACY versus HEIRARCHY
By staff reporters
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#Holacracy takes powers traditionally reserved for executives and managers and spreads them across all employees.
#Heirarchy is how business has traditionally been done- top down, where the ones who do the most work have the least power (as in the practice of medicine in its current form)
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Filed under: Glossary Terms | Tagged: HEIRARCHY, HOLACRACY | Leave a comment »
Future Fate: YES -or- NO?
[By staff reporters]
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Filed under: Ethics, Glossary Terms | Tagged: AI, artificial intelligence | 1 Comment »
Diagnosis and Treatment
By staff reporters
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Filed under: Glossary Terms, LifeStyle | Tagged: acute pericarditis, corona | Leave a comment »
Understanding the “Misery Index”
By Dan Ariely PhD
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Filed under: Glossary Terms, LifeStyle | Tagged: Dan Ariely PhD, Misery Index, Regret Principles | 1 Comment »
Survey Highlights on Pre-Certification
By wedi
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“DICTIONARY OF TERMS FOR THE BUSINESS OF MEDICINE”
DHEF: https://lnkd.in/dqdbWM9
DHIMC: https://lnkd.in/e9AmEhd
DHITS: https://lnkd.in/eWx3WjZ
MORE: https://lnkd.in/eVGcji5
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Filed under: Glossary Terms, Health Economics, Health Insurance | Tagged: pre-certification, Prior Authorization, WEDI | 3 Comments »
Do’s and Don’ts
By staff reporters
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Filed under: Glossary Terms, LifeStyle | Tagged: How to delegate? | Leave a comment »
Screwed-Up Decision Making
[By Staff reporters]
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Filed under: Experts Invited, Glossary Terms, Quality Initiatives | Tagged: Biases investing, cognitve science, Decision Biases, decision-making | 1 Comment »
Eases Burden on Rural Medical Providers
By Health Capital Consultants, LLC
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Executive Order Expands Telemedicine and Eases Burden on Rural Providers
On August 3, 2020, President Donald Trump signed an executive order aimed at expanding access to care through two avenues: telemedicine and eased financial burdens on rural providers. The executive order builds on President Trump’s original expansion of coverage for telemedicine services in early March 2020, an order which was praised by the American Telehealth Association (ATA) and American Medical Association (AMA) for swiftly responding to the growing healthcare crisis. This Health Capital Topics article will discuss the executive rule and the subsequent agency actions on these fronts. (Read more…)
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Filed under: Glossary Terms, Health Law & Policy, Information Technology | Tagged: Health Capital Consultants LLC, Medicare Telehealth, Tele-Health, telemedicine | 2 Comments »
Among U.S. Workers
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Filed under: Glossary Terms, Health Economics, Health Insurance, LifeStyle | Tagged: corona, Covid-19, lung, lung disease, mcol.com, vaping | 1 Comment »
The Differences in Chart Form
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Filed under: Glossary Terms, Health Economics | Tagged: mcro economics, micro-economics | Leave a comment »
What is the Difference – Know the Difference
By staff reporters
Both an EMR and EHR are digital records of patient health information. An EMR is best understood as a digital version of a patient’s chart. It contains the patient’s medical and treatment history from one practice. Usually, this digital record stays in the doctor’s office and does not get shared. If a patient switches doctors, his or her EMR is unlikely to follow.
By contrast, an EHR contains the patient’s records from multiple doctors and provides a more holistic, long-term view of a patient’s health. It includes their demographics, test results, medical history, history of present illness (HPI), and medications.
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“Medical Management and Health Economics Education for Financial Advisors”
CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq
Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Glossary Terms, Information Technology | Tagged: eHR, eMR | 1 Comment »
BEFORE versus FUTURE
By staff reporters
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COMMENTS APPRECIATED
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Filed under: Glossary Terms, LifeStyle | Tagged: Evolution of Learning, Learning Evolution | Leave a comment »
False Positive VERSUS False Negative Tests
By Staff reporters
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Filed under: Glossary Terms | Tagged: false negative, false positive | Leave a comment »
How it Works
By staff reporters
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SPEAKING INVITATION TOPIC LIST:
Filed under: Glossary Terms, Health Law & Policy | Tagged: Adaptive COVID-19 Trial | Leave a comment »
The First Black Woman MD in the USA
By staff reporters
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“Medical Management and Health Economics Education for Financial Advisors”
CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq
Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
***
Filed under: "Doctors Only", Glossary Terms, Health Law & Policy | Tagged: Rebecca Crumpler MD | Leave a comment »
BIGGEST STOCKS [COMPANIES]
Courtesy: www.CertifiedMedicalPlanner.org
CERTIFIED MEDICAL PLANNER®
“Medical Management and Health Economics Education for Financial Advisors”
CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq
Your thoughts and comments are appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: CMP Program, Glossary Terms | Tagged: About the Certified Medical Planner™ Program, CMP Program | Leave a comment »
By Health Capital Consultants, LLC
On July 7, 2020, the Lown Institute, a nonpartisan think tank, announced the initial release of its new ranking system for hospitals. Called the “Hospitals Index,” this ranking analyzes not just the quality of care and patient outcomes but also the hospital’s civic leadership and avoidance of overuse, ideas that harken back to the core mission and vision of the Lown Institute itself.
Founded in 1973, the Institute advocates for a healthcare system that “rejects low-value care, incentivizes healing over profits, promotes health equity, and honors the value of the clinician-patient relationship.” (Read more…)
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“Medical Management and Health Economics Education for Financial Advisors”
CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq
Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
***
Filed under: Ethics, Glossary Terms, Quality Initiatives | Tagged: Health Capital Consultants LLC, Hospitals’ Community Benefit | 1 Comment »
Human Physiology [4 Steps]
By Staff Reporters
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“Medical Management and Health Economics Education for Financial Advisors”
CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq
Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
***
Filed under: Glossary Terms, LifeStyle | Tagged: ventillators | Leave a comment »
WHAT IS “ANOSMIA”
By Darrell Pruitt DDS and David E. Marcinko MBBS, MBA
Anosmia, also known as smell blindness, is the loss of the ability to detect one or more smells. Anosmia may be temporary or permanent. It differs from Hyposmia which is a decreased sensitivity to some or all smells.
According to Wikipedia, Anosmia can be due to a number of factors, including an inflammation of the nasal mucosa, blockage of nasal passages or a destruction of one temporal lobe. Inflammation is due to chronic mucosa changes in the lining of the paranasal sinus and in the middle and superior turbinates. When anosmia is caused by inflammatory changes in the nasal passageways, it is treated simply by reducing inflammation. It can be caused by chronic meningitis and neurosyphilis that would increase intracranial pressure over a long period of time, and in some cases by ciliopathy, including ciliopathy due to primary ciliary dyskinesia. The term derives from the New Latin anosmia, based on Ancient Greek ἀν- (an-) + ὀσμή (osmḗ, “smell”; another related term, hyperosmia, refers to an increased ability to smell). Some people may be anosmic for one particular odor, a condition known as “specific anosmia”. The absence of the sense of smell from birth is known as congenital anosmia.
Ageusia is the loss of taste functions of the tongue, particularly the inability to detect sweetness, sourness, bitterness, saltiness, and umami. It is sometimes confused with anosmia – a loss of the sense of smell. Because the tongue can only indicate texture and differentiate between sweet, sour, bitter, salty, and umami, most of what is perceived as the sense of taste is actually derived from smell. True Ageusia is relatively rare compared to Hypogeusia – a partial loss of taste – and Dysgeusia – a distortion or alteration of taste.
ASSESSMENT:
If you should suddenly lose your sense of smell (anosmia), you might want to get tested for COVID-19 – even without the presence of other symptoms.
“A majority of COVID-19 patients experience some level of anosmia, most often temporary. Analyses of electronic health records indicate that COVID-19 patients are 27 times more likely to have smell loss but are only around 2.2 to 2.6 times more likely to have fever, cough or respiratory difficulty, compared to patients without COVID-19.”
See: “How COVID-19 Causes Loss of Smell – Olfactory support cells, not neurons, are vulnerable to novel coronavirus infection.” By Kevin Jiang for Harvard Medical School, July 24, 2020.
https://hms.harvard.edu/news/how-covid-19-causes-loss-smell
Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
***
Filed under: Glossary Terms, Health Insurance, iMBA, Inc., Pruitt's Platform, Touring with Marcinko | Tagged: AGEUSIA, ANOSMIA, corona, Corvid-19, D. Kellus Pruitt DDS, David Edward Marcinko, DYSGEUSIA, HYPERSOMIA, HYPOGEUSIA, pandemic | Leave a comment »
Click to access AMCP-ACHP-Consumer-Polling-Data.pdf
Filed under: Glossary Terms, Health Economics, Health Insurance, Health Law & Policy | Tagged: corona virus, pandemic | Leave a comment »
Courtesy: https://lnkd.in/eBf-4vY
The VM is a measure of the number of times that the average unit of currency is used to purchase goods and services within a given time period. The concept relates the size of economic activity to a given money supply. This speed of money exchange is one of the variables that determine inflation.
VM is the ratio of gross national product (GNP) to a country’s money supply. The more often money changes hands, the greater the level of commerce. The VM is determined by money supply, interest rates, inflation, commerce and the Federal Reserve.
LINK: https://lnkd.in/eZxrhtp
Physicians, like most consumers, tend to hold less money as interest rates and inflation increase, and therefore the velocity of money increases.
ESSAY: https://lnkd.in/e6TvuVM
VM is reduced when people increase money holdings in periods of low interest rates and low inflation; the opposite when rates and inflation are high.
CMP® CURRICULUM: https://lnkd.in/eDTRHex
Assessment: Comments appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ewJPTJs
THANK YOU
***
Filed under: Financial Planning, Glossary Terms, iMBA, Inc. | Tagged: Velocity Money | Leave a comment »
Study Confirms Some Flu Vaccines Cause a Stronger Response in Older Patients
Courtesy: www.CertifiedMedicalPlanner.org
Back in December 2019, a study published journal “Clinical Infectious Diseases” offered more evidence that certain specially formulated flu vaccines may offer people 65 years and older better protection than standard-dose flu vaccines.
LINK: https://www.cdc.gov/flu/spotlights/2019-2020/vaccine-stronger-immune.htm
People in this age group are considered at high risk of developing serious flu complications, yet vaccines may not work as well for them as they do in younger people.
There are at least three relatively newer influenza vaccine options that may improve vaccine protection among older adults, and this is the first study to directly compare the antibody responses from these newer vaccine options with standard flu vaccines among people in the same age group during the same influenza season.
QUERY: What are the implications of this study on the Corona Virus pandemic?
Assessment: Your thoughts and comments are appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS
THANK YOU
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Filed under: Glossary Terms | Tagged: VACCINE ENHANCED IMMUNE RESPONSE | Leave a comment »
Two Well Known But Doubtful Economic Theories
Courtesy: www.CertifiedMedicalPlanner.org
[By Staff Reporters]
1 – RATIONAL EXPECTATIONS state that one will conform to what can logically be expected in the future. That is, a person will invest, save or spend according to what s/he rationally believes will happen in the future. An investor thinks a stock is going to go up, and by buying it, this act actually causes the stock to go up.
LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html
DOUBT: An investor notices that a stock is undervalued, buys it, and watches as other investors notice the same thing, thus pushing the price up to its proper market value. This creates a self-fulfilling prophecy that helps bring about the future event. So, RE can be changed to explain everything, but it tells us nothing.
2 – ADAPTIVE EXPECTATIONS suggest that people form their expectations about what will happen in the future based on what has happened in the past.
DOUBT: Past data is only one of many factors that influence future behavior. In the financial world, change is the only true constant.
ESSAY: https://medicalexecutivepost.com/2013/04/24/more-on-money-psychology/
ESSAY: https://medicalexecutivepost.com/2014/08/08/on-financial-psychology-and-money-scripts/
ASSESSMENT: Your thoughts and comments are appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS
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THANK YOU
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Filed under: Glossary Terms | Tagged: Adaptive Expectations, Economic Psychology, financial psychology, Rational Expectations | Leave a comment »
THE “SIREN CALL” OF MEDICAL PRACTICE PRIOR AUTHORIZATONS
Courtesy: www.CertifiedMedicalPlanner.org
“The Doctor Can’t See You – She’s Too Busy Doing Prior Authorizations.”
By Dr. David Edward Marcinko MBA
Somewhere along the way, physicians took a wrong step. Colleagues said OK to the SERPENT who whispered: “this saves money,” and now we’re entangled. We should’ve asked, “Whose money?”
PRIOR AUTHORIZATIONS for medical treatment and prescription drug are killing medicine and all those who would follow into this once great profession.
And so, here is an excerpt [blinded and abbreviated] from an email we received from a medical physician colleague.
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DOCTOR: For every hour that I spend with a patient, I spend another three hours documenting and begging.
TYPICAL DAY: 4 hours of seeing patients, sprinkled between 12 hours of doing what we used to call “paperwork”.
EMRs: Calling it Electronic Medical Records and data collection doesn’t make this nonsense any more appealing.
ASSESSMENT: Patients get turned away because PCPs are too busy with paperwork. People are sick and dying while I’m calling clerks and pleading for RXs. I’d rather be doctoring.
BOTTOM LINE: 1/5 of my day, over 12 hours a week as a PCP, is now spent on prior authorizations. 1/3 of my assistant’s day is on prior authorizations. That’s why he couldn’t call you back.
CONCLUSION: Next time you can’t get a doctor’s appointment, you’ll know why.
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Assessment: Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS
THANK YOU
***
Filed under: Drugs and Pharma, Glossary Terms | Tagged: prior medical authorizations | 3 Comments »
WILL THE CORONA VIRUS PANDEMIC DECIMATE THE L.T.C.I. INDUSTRY?
Courtesy: https://lnkd.in/eBf-4vY
By Dr. David E. Marcinko MBA
I admit that I held a state insurance license.
LINK: https://lnkd.in/e9AmEhd
A 22 minute computer test was the barrier to entry. There aren’t many with both medical and insurance licenses; and even fewer who actually practiced inside a [skilled] nursing home, long term care facility or geriatric hospital; etc.
ESSAY: https://lnkd.in/ebJPN3V
EESSAY: https://lnkd.in/gMZP-T9
Of course, agents sell policies but doctors treat patients. And, most Long Term Care Insurance policies are sold; not bought. I would not want to live in such a facility.
ESSAY: https://lnkd.in/etQwcP6
ESSAY: https://lnkd.in/eCBuPeq
ESSAY: https://lnkd.in/eKCFAhG
My combined experience led me to advocate for the age-in-place movement; despite the exploding aging population.
ESSAY: https://lnkd.in/eK54jfq
ESSAY: https://lnkd.in/eFzDUju
ESSAY: https://lnkd.in/gMyFFVz
QUERY: Has the recent pandemic exposed the structural weakness endemic to our LTC system and made institutional out breaks more deadly?
LINK: https://lnkd.in/eR8KeQt
LINK: https://lnkd.in/eqkneqq
Assessment: Any thoughts or comments?
BUSINESS, FINANCE AND INSURANCE TEXTS
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
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Filed under: Glossary Terms, Health Insurance | Tagged: Covid-19, long term care insurance, LTCI, WILL THE CORONA VIRUS PANDEMIC DECIMATE THE L.T.C.I. INDUSTRY? | Leave a comment »
Why SDOH?
[By MCOL.com and staff reporters]
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Filed under: Glossary Terms, Health Economics, LifeStyle, Quality Initiatives | Tagged: SDOH, Social Determinants of Health | Leave a comment »
January – March 2020
[By staff reporters]
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Assessment: Your thoughts are appreciated.
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Filed under: Glossary Terms, Health Insurance, LifeStyle | Tagged: cause of death, Global Deaths, Leading Cause Death | Leave a comment »
Moral Suasion, Investing and the Corona Pandemic
Courtesy: http://www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
People will believe anything if enough people tell them it’s true.
This thought comes from a Chinese proverb that if one person tells you there’s a tiger roaming around your neighborhood, you can assume they’re lying.
LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html
If two people tell you, you begin to wonder. If three say it’s true, you’re convinced there’s a tiger in your neighborhood and you panic.
MORE: https://www.omsj.org/science/three-men-make-a-tiger
INVESTING: https://www.caseyresearch.com/daily-dispatch/three-men-make-a-tiger/
MONEY PSYCHOLOGY: https://medicalexecutivepost.com/2018/09/19/money-beliefs-and-luxury-lifestyle-tv/
INVESTING: https://medicalexecutivepost.com/2013/04/24/more-on-money-psychology/
Assessment: Your thoughts and comments related to the Corona Virus Pandemic, Money and Investing psychology are appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS
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THANK YOU
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Filed under: Glossary Terms, Investing, Research & Development | Tagged: corona, financial psychology, money psychology, Three men make a tiger | Leave a comment »
Performance Increases with Anxiety and Excitement to a Point
By Dr. David E. Marcinko MBA
Courtesy: www.CertifiedMedicalPlanner.org
The Yerkes–Dodson law is an empirical relationship between arousal and performance, originally developed by psychologists Robert M. Yerkes and John Dillingham Dodson in 1908.
LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html
The law dictates that performance increases with physiological or mental arousal, but only up to a point. When levels of arousal become too high, performance decreases. The process is often illustrated graphically as a bell-shaped curve which increases and then decreases with higher levels of arousal.
LINK: https://juniperpublishers.com/gjidd/pdf/GJIDD.MS.ID.555606.pdf
MONEY: https://medicalexecutivepost.com/2018/09/19/money-beliefs-and-luxury-lifestyle-tv/
INVESTING: https://medicalexecutivepost.com/2013/04/24/more-on-money-psychology/
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Assessment: Your thoughts and comments related to the Corona Virus Pandemic, Investing and Money Psychology are appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Glossary Terms, Investing, Research & Development | Tagged: Investing, money psychology, Yerkes-Dodson Law | 1 Comment »
Does the Internet Promote the Same Dynamic as “Road Rage?”
Courtesy: https://lnkd.in/eBf-4vY
The best way to get an answer on the Internet is not to ask a question. It’s to post the wrong answer.
This “law” by Ward Cunningham is known to those with social media accounts. Once you’re arguing with a computer – social norms vanish! People like to fight online more than they like to help.
They’re quicker to point out flaws than to become a friendly resource.
In fact, psychologist Jonathan Haidt wrote that if you constantly express anger in your private conversations, your friends will likely find you tiresome. But, when there’s an audience, the payoffs are different and outrage can boost your status.
A study by William J. Brady at NYU measured half a million tweets and found that each moral or emotional word used in a tweet increased its virality by 20 percent.
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Finally, another 2017 study, by the Pew Research Center, showed that posts exhibiting “indignant disagreement” received nearly twice as much engagement [likes and shares] as other types of content.
MORE: https://lnkd.in/emU7F5c
Assessment: Your thoughts are appreciated
TEXTS FOR PHYSICIAN-EXECUTIVES & MEDICAL CXOs:
1 – https://lnkd.in/eEf-xEH
2 – https://lnkd.in/e2ZmewQ
Thank You
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Filed under: Experts Invited, Glossary Terms | Tagged: WARD CUNNINGHAM'S LAW OF INTERNET INQUIRIES!, William J. Brady | 1 Comment »
A GLOSSARY AND GUIDE TO MEDICAL AND BIOLOGICAL STATISTICS
Courtesy: www.CertifiedMedicalPlanner.org
Biostatistics is the development and application of statistical methods to a wide range of topics in biology. It encompasses the design of biological experiments, the collection and analysis of data from those experiments and the interpretation of the results.
LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html
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So, here is a white paper and glossary of important epidemiological concepts and common bio-statistical terms to help doctors, graduate students and related professionals translate medical research into everyday practice.
Link: http://www.medpagetoday.com/Medpage-Guide-to-Biostatistics.pdf
Assessment: Your thoughts are appreciated.
BUSINESS TEXTS FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs
THANK YOU
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Filed under: Glossary Terms | Tagged: BIOLOGICAL STATISTICS | Leave a comment »
WHAT IS A MEDICAL “SENTINEL EVENT”
Courtesy: www.CertifiedMedicalPlanner.org
Terms in the Covid Virus Pandemic News
The Joint Commission suggests a Sentinel Event is any unanticipated occurrence in a healthcare setting resulting in death or serious physical or psychological injury to a patient or patients, not related to the natural course of the patient’s illness.
Sentinel Events specifically include loss of a limb or gross motor function, and any event for which a recurrence would carry a risk of a serious adverse outcome. Sentinel events are identified to help aid in root cause analysis and to assist in development of preventive measures.
TJC tracks events in a database to ensure they are adequately analyzed and undesirable trends or decreases in performance are caught early and “mitigated”.
Deborah Leah Birx MD coordinator for the White House Corona Virus Task Force mentioned the term in the daily presidential briefings on the Covid-19 pandemic. And so, your thoughts and comments are appreciated.
Assessment: Your thoughts are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS
THANK YOU
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Filed under: Glossary Terms | Tagged: sentinel events | Leave a comment »
Cases Per Condition
[By staff reporters]
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Filed under: Glossary Terms, Health Economics, LifeStyle | Tagged: corona, Covid-19, pre-existing corona conditions | 3 Comments »
WHAT IS “CONTACT TRACING” IN PUBLIC HEALTH?
Courtesy: www.CertifiedMedicalPlanner.org
When a patient tests positive, you make a list of everyone they came in close contact with. Then, you find those people and make sure they self-isolate before infecting others.
That sounds straightforward, but contact tracing a new patient typically takes three days, which is “an insurmountable hurdle in the U.S., with its low numbers of public health workers and tens of thousands of new cases every day.”
ELSEWHERE: South Korea used high-tech contact tracing to tame its outbreak. The government compiled GPS data, credit card swipes, and other info into a public log showing where COVID-19 patients had traveled.
Some countries (including the U.S.) are trying other methods, including looking at smart-phone location data and developing Bluetooth systems that provide warnings if you’ve crossed paths with an infected person.
PROBLEMS: Despite its widespread use in places like Singapore, contact tracing has raised concerns about privacy and governments following citizens’ whereabouts.
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PODCAST: https://www.youtube.com/watch?v=hlHCLXv2HQs
PODCAST: https://www.youtube.com/watch?v=CQBO_DHBtzw
And so, Contact Tracing is a term you’ll be hearing a lot more of in the coming weeks.
Assessment: Your thoughts and comments are appreciated.
BUSINESS TEXTS FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXO
THANK YOU
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Filed under: Glossary Terms, Health Insurance, iMBA, Inc. | Tagged: contact tracing, corona virus, Covid-19, public health | 6 Comments »
What it is – How it works?
Courtesy: www.CertifiedMedicalPlanner.org
“Shelter-in-Place” means to seek safety within the building one already occupies, rather than to evacuate the area or seek a community emergency shelter.
The American Red Cross says the warning is issued when “chemical, biological, or radiological contaminants may be released accidentally or intentionally into the environment” and residents should “select a small, interior room, with no or few windows, taking refuge there.”
LINK: https://www.redcross.org/get-help/how-to-prepare-for-emergencies/make-a-plan.html
And now, the term is being applied to the Corona Virus?
Yet, it is a politically contentious issue.
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Assessment: Your thoughts and comments are appreciated.
THANK YOU
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Filed under: Glossary Terms, Quality Initiatives | Tagged: SHELTER-IN-PLACE | 1 Comment »
Obvious Covid-19 Implications
By Dr. David Edward Marcinko; MBA, CPHQ, CMP
We’ve discussed biologic false positives and false negatives before on this ME-P.
LINK: https://medicalexecutivepost.com/2019/09/14/what-are-false-positive-and-false-negative-tests/
Courtesy: www.CertifiedMedicalPlanner.org
So, now is the time to discuss and conquer the medical laboratory concepts of Sensitivity and Specificity.
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Sensitivity and specificity are statistical measures of the performance of a binary classification test, also known in statistics as a classification function, that are widely used in medicine.
LINK: https://www.differencebetween.com/difference-between-sensitivity-and-vs-specificity/
NOTE: The terms “positive” and “negative” don’t refer to the value of the condition of interest, but to its presence or absence; the condition itself could be a disease, so that “positive” might mean “diseased”, while “negative” might mean “healthy”.
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And so, colleague Michael Lawrence Langan MD opines on a much deeper level.
Assessment: Your thoughts and comments are appreciated.
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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS
THANK YOU
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Filed under: Glossary Terms, Health Economics, Health Insurance, Quality Initiatives, Touring with Marcinko | Tagged: SENSITIVITY “versus” SPECIFICITY | 1 Comment »
Filed under: Glossary Terms, Quality Initiatives | Tagged: MEDICAL SENSITIVITY, MEDICAL SPECIFICITY | Leave a comment »
The Most Famous Number in History
[By Staff Reporters]
Pi Day is an annual celebration of the mathematical constant π. Pi Day is observed on March 14 since 3, 1, and 4 are the first three significant digits of π. In 2009, the United States House of Representatives supported the designation of Pi Day.
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Assessment: Your thoughts and comments are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Glossary Terms | Tagged: pi day | Leave a comment »
WHAT IS: Personal Protective Equipment?
Courtesy: www.CertifiedMedicalPlanner.org
On “Level One” Infection Control Practices
By Dr. David E. Marcinko MBA
QUERY: We’ve been hearing about PPE since the start of the Corvid-19 epidemic. But, what is it; really? One of my B-School students recently asked me.
ANSWER: PPE is protective clothing, helmets, goggles, garments or equipment to protect one from injury. The hazards include physical, electrical, heat, chemicals, biological and airborne particulates. It may be worn for occupational safety, health purposes, sports and other recreational activities.
INFECTIONS: In terms of high consequence infectious disease control however; we must get a bit more granular in detail.
LINK: http://rcctelemetrytechniciancourse.blogspot.com/2016/03/infection-control-practices.html
Assessment: Your thoughts are appreciated.
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MORE: Call 1-800-CDC-INFO
THANK YOU
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Filed under: Glossary Terms, Quality Initiatives | Tagged: personal protective equipment, PPE | Leave a comment »
Modern Corono Virus Thoughts?
By: http://www.CertifiedMedicalPlanner.org
Here are a few theories of human behavior for the healthcare industrial complex that might help explain how sector thoughts may not work correctly; all the time.
WHY: Perhaps they might be considered in light of the CorVid-19epidemic?
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Erkson’s Paradox: Strong correlations can fall apart when combined with a larger population. For example, among motorcycle crash victims wearing helmets are more likely to be seriously injured than those not wearing helmets. But, that’s because most crash victims saved by helmets did not need to become hospital patients, and those without helmets are more likely to die before becoming a hospital patient.
Group Attribution Error: Incorrectly assuming that the views of a group member, like a physician, reflect those of the whole group in a different discipline.
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Baader-Meinhof Phenomenon: Noticing an idea or word everywhere you look as soon as it’s brought to your attention in a way that makes you overestimate its prevalence.
The 90-9-1 Rule: In social media networks, 90% of users just read content, 9% of users contribute a little content, and 1% of users contribute almost all the content.
QUERY: Does Social Media give a false impression of what ideas are popular or “average.”
ASSESSMENT: Your thoughts and comments are appreciated.
TEXTS FOR PHYSICIAN EXECUTIVES:
THANK YOU
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Filed under: Ethics, Glossary Terms, iMBA, Inc. | Tagged: 90-9-1 Rule, Baader-Meinhof Phenomenon, Erkson’s Paradox, Group Attribution Error | Leave a comment »
More on Epidemiology and Health Economics
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
We’ve talked about the “Number Needed to Treat”, before.
QUERY: But, what is the “Number Needed to Harm”?
ANSWER: The number needed to harm (NNH) is an epidemiological measure that indicates how many persons on average need to be exposed to a risk factor over a specific period to cause harm in an average of one person who would not otherwise have been harmed.
Colleague Aaron Carroll MD explains even more.
PODCAST: https://www.youtube.com/watch?v=e_ytF2-4NkI
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MORE: https://www.youtube.com/watch?v=90CWXT5zxjw
Conclusion: Your thoughts are appreciated.
TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:
THANK YOU
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Filed under: Glossary Terms, iMBA, Inc., Research & Development | Tagged: NNTH, Number Needed TO Harm | Leave a comment »
On “WHAT’S-WHAT” and more!
By Dr. David E. Marcinko MBA
Is there a Difference? – Know the Difference!
DEDUCTIVE reasoning and logic is the process of reasoning from one or more statements (premises) to reach a logically certain conclusion. Deductive reasoning goes in the same direction as the conditionals, and links premises with conclusions. If all premises are true, the terms are clear, and the rules of deductive logic are followed, then the conclusion reached is necessarily true.
INDUCTIVE reasoning is a method in which the premises are viewed as supplying some evidence for the truth of the conclusion. While the conclusion of a deductive argument is certain, the truth of the conclusion of an inductive argument may be probable, based upon the evidence given. Many dictionaries define inductive reasoning as the derivation of general principles from specific observations, though there are many inductive arguments that do not have that form.
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SEMANTICALLY NULL doesn’t mean anything but is grammatically sound. A sentence as a whole can be semantically null because its internal inconsistencies prevent it from developing a meaning; ie., “I know what’s what?
An EXPLETIVE is a word or phrase inserted into a sentence that is not needed to express the basic meaning of the sentence. It is regarded as semantically null or a place holder.
A SYLLOGISM is a form of reasoning in which a conclusion is drawn (whether validly or not) from two given or assumed propositions (premises), each of which shares a term with the conclusion, and shares a common or middle term not present in the conclusion (e.g., all dogs are animals; all animals have four legs; therefore all dogs have four legs). This school of epistemology is highly advanced in syllogism and logical reasoning.
MORE: https://medicalexecutivepost.com/2019/05/14/what-is-epistemic-ambivalence/
MORE: https://medicalexecutivepost.com/2019/12/23/rationalism-versus-empiricism/
Conclusion: Your thoughts are appreciated.
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Filed under: Glossary Terms, iMBA, Inc. | Tagged: Epistemic ambivalence, expletive, inductive and deductive reasoning, logic, semantically null | Leave a comment »
What it is – How it works!
[By staff reporters]
Bonini’s paradox, named after Stanford business professor Charles Bonini, explains the difficulty in constructing models or simulations that fully capture the workings of complex systems (such as the human brain
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MORE: https://en.wikipedia.org/wiki/Bonini%27s_paradox
Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
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THANK YOU
Filed under: Career Development, Glossary Terms | Tagged: Bonini's paradox | Leave a comment »
Understand and Know the Difference
[By staff reporters]
Efficient – Performing or functioning in the best possible manner with the least waste of time and effort. The difference between effectiveness and efficiency can be summed up shortly, sweetly and succinctly right.
Effective – Produces the results you want. And that’s a very appropriate way to define effective, because we get the adjective from the noun effect—a result. It’s not too hard to remember the difference between affective and effective. You just have to use a small upside-down mnemonic device—when it comes to affective and effective, a is for emotion, and e is for action.
AFFECTIVE – Relating to moods, feelings, and attitudes.
MORE: https://www.grammarly.com/blog/affective-vs-effective/
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Assessment – In taking into consideration resource consumption furthermore, Effectiveness is only about the output while Efficiency is about the outcome. In other words, to be effective is to “do the right things” while to be efficient is to “do things right.”.
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
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Filed under: Glossary Terms | Tagged: Efficient V. Effective V. Affective | Leave a comment »
The Theory
[By Staff Reporters]
Quantitative easing (QE) is a monetary policy used by central banks to stimulate the economy when standard monetary policy has become ineffective.
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Quantitative tightening (QT) is a contractionary monetary policy applied by a central bank to decrease the amount of liquidity within the economy. The policy is the reverse of quantitative easing aimed to increase money supply in order to “stimulate” the economy.
Assessment: Your thoughts are appreciated.
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Filed under: Glossary Terms, Health Economics | Tagged: Quantitative Easing, Quantitative tightening | 1 Comment »
By Dr. David E. Marcinko MBA
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I’ve taught in medical, graduate and business school academia for a while now, and served as instructor, adjunct, assistant, associate and full professor in the USA and Europe. I even held chair and endowed positions. But, the precise definition of these titles has always eluded me. So, I did a bit of research to arrive at the following conclusions mingled with my personal experiences..
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A “Professor-of-the-Practice” or P-O-P is a non-tenured person appointed to the academic staff of an American university with exceptional experiences in their “practice” (profession) and holding a terminal doctoral degree.
I’ve seen this position in medical schools and allied health care institutuions.
NOTE: In American universities, a “professor” is practically any lecturer with a doctor’s degree, whereas in most of the world the title is reserved for senior academics; including most Commonwealth Nations (United Kingdom), German-speaking nations and Northern Europe. It may also be a department head or specifically bestowed chair. A professor is a highly accomplished and recognized academic, and the title is awarded only after decades of scholarly work. In the United States and Canada the title of professor is granted to all scholars with doctorate degrees (typically Ph.D.s) who teach in two and four year colleges and universities, and used in the titles Assistant Professor and Associate Professor, which are not considered full professorship level positions elsewhere.
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A Scholar-in-Residence can serve a university in a full-time, visiting, or part-time capacity. A full-time SIR will be provided on-campus housing and is asked to: hold 2-5 office hours/programs per week in the community. A part-time SIR will host at least 2 programs/activities during the appointment and attend appropriate community meetings.
I’ve seen this position mostly in the graduate school universe.
Finally, an “Entrepreneur-in-Residence” is a position typically held by successful entrepreneurs in venture capital firms, private equity firms, startup accelerators, law firms, or business schools. The EIR typically leads a small, early-stage, emerging company deemed to have high growth potential, or has demonstrated high growth. The university endowment fund provides the Entrepreneur-in-Residence with working capital to nurture expansion, new-product development, or restructuring of the company’s operations, management, and/or ownership.
This is likely the newest business school nomenclature iteration IMHO.
Assessment: So, how did I do with these definitions which still may vary among different colleges, universities and institutions? Your thoughts are appreciated.
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Filed under: Glossary Terms, Touring with Marcinko | Tagged: assistant professor, associate professor, chair, David Marcinko MBA, entrepreneur-in-residence, professor, scholar-in-residence | Leave a comment »
Word Play, Anyone?
[By staff reporters]
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Filed under: Glossary Terms, Jokes and Puns | Tagged: linguistics, Portmanteau | Leave a comment »
[By staff reporters]
Definition: An NHS term of art for a care episode of an inpatient, outpatient, day case, day patient, or for haemodialysis.
Each episode is initiated by a referral (or re-referral) or admission, and is ended by a discharge.
Going Granular: Here is and excellent review by the Vanderbilt University Medical Center.
LINK: https://ww2.mc.vanderbilt.edu/eoc/46938
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.
Book Marcinko: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/
Subscribe: MEDICAL EXECUTIVE POST for curated news, essays, opinions and analysis from the public health, economics, finance, marketing, IT, business and policy management ecosystem.
HOSPITALS:
“Financial Management Strategies for Hospitals” https://tinyurl.com/yagu567d
“Operational Strategies for Clinics and Hospitals” https://tinyurl.com/y9avbrq5
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Filed under: Glossary Terms | Tagged: Episode of Care | Leave a comment »
What Are We Measuring, and Does It Matter for Patient Care?
[By Dr. David Edward Marcinko MBA]
OK; I admit it. I edited three major dictionaries on health insurance and managed care, health economics and finance, and health information technology and security. Each tome was comprised of 10,000 peer-reviewed terms, definitions, initialisms, acronyms and syllogisms, etc; for a total of 30,000 peer-reviewed entries. They have been very successfully received to date; throughout the entire medico-legal-business ecosystem.
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So, imagine my surprise when I just leaned that the concept of “patient engagement’ within the context of shared decision making [SDM] – which has been bantered about on this forum and the medical, nursing, legal, public health policy and management community without real precision for decades – is in definitional limbo. And, I quote:
“In a rigorous systematic review, Dukhanin and colleagues categorize metrics and evaluative tools of the engagement of patient, public, consumer and community in decision-making in healthcare institutions and systems. The review itself is ably done and the categorizations lead to a useful understanding of the necessary elements of engagement, and a suite of measures relevant to implementing engagement in systems. Nevertheless, the question remains whether the engagement of patient representatives in institutional or systemic deliberations will lead to improved clinical outcomes or increased engagement of individual patients themselves in care. Attention to the conceptual foundations of patient engagement would help make this systematic review relevant to the clinical care of patients.”
Assessment
The publication is from the “International Journal of Health Policy and Management”, January 2019.
Now, I was asked to serve on their editorial review board about a year ago but demurred due to time constraints. Nevertheless, I am glad that the IJHPM is thriving and challenging conventional wisdom and the shibboleths we all seem to accept without proof.
And perhaps, SHOULD NOT.
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http://www.ijhpm.com/article_3550_3c3a114acab2338b472d63428ee3de5d.pdf
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Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
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.
Book Marcinko: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/
Subscribe: MEDICAL EXECUTIVE POST for curated news, essays, opinions and analysis from the public health, economics, finance, marketing, IT, business and policy management ecosystem.
DOCTORS:
“Insurance & Risk Management Strategies for Doctors” https://tinyurl.com/ydx9kd93
“Fiduciary Financial Planning for Physicians” https://tinyurl.com/y7f5pnox
“Business of Medical Practice 2.0” https://tinyurl.com/yb3x6wr8
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HOSPITALS:
“Financial Management Strategies for Hospitals” https://tinyurl.com/yagu567d
“Operational Strategies for Clinics and Hospitals” https://tinyurl.com/y9avbrq5
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Filed under: Glossary Terms, Touring with Marcinko | Tagged: Patient engagement, Shared Decision Making | 2 Comments »
That a NON-CFP® Certificant … CAN-NOT?
[By Dr. David Edward Marcinko MBA CMP®]
http://www.CertifiedMedicalPlanner.org
OK – I was a Certified Financial Planner® before my academic team launched the Certified Medical Planner™ online and on-ground chartered education and board certification designation program a few years ago. I am now reformed and in remission.
Enter the Certified Medical Planner™ Chartered Designation
Today, we are gratified that Certified Medical Planner™ mark notoriety is growing organically in the healthcare, as well as financial services, industry.
In fact, even uber-blogger Mike Kitces MSFS, MTAX, CFP, CLU, ChFC, RHU, REBC, CASL has taken note of us in his musings on the Nerd’s Eye View website.
And, the reality is that there are a growing number of CFP educational programs at the post-CFP niche market level. But, none for healthcare industrial complex: for doctors … by doctors!
QUERY
Nevertheless, I was a bit flummoxed when a physician college recently asked me this simple question:
Q: What can a CFP® mark holder do for me that a non-CFP® certificant can not?
Assessment
Now, much like a good interrogating attorney, I think I already know the answer to this question. Nevertheless, it is important to determine and understand what our ME-P readers believe; and why they believe it!
So, please opine and tell us what you think.
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.
Book Marcinko: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/
Subscribe: MEDICAL EXECUTIVE POST for curated news, essays, opinions and analysis from the public health, economics, finance, marketing, IT, business and policy management ecosystem.
DOCTORS:
“Insurance & Risk Management Strategies for Doctors” https://tinyurl.com/ydx9kd93
“Fiduciary Financial Planning for Physicians” https://tinyurl.com/y7f5pnox
“Business of Medical Practice 2.0” https://tinyurl.com/yb3x6wr8
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HOSPITALS:
“Financial Management Strategies for Hospitals” https://tinyurl.com/yagu567d
“Operational Strategies for Clinics and Hospitals” https://tinyurl.com/y9avbrq5
ADULT LEARNERS AND STUDENTS:
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Filed under: Career Development, CMP Program, Financial Planning, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance | Tagged: certified financial planner, certified medical planner | 1 Comment »
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